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Organization

DEKALB MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER YEE LO MD (PRESIDENT)
(718) 418-0700
Entity
Organization

Contact information

Practice address
122 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4034
(718) 418-0700
(718) 418-2179
Mailing address
58 IRVING ST, VALLEY STREAM, NY 11580-1635
(516) 285-9322
(516) 285-9322

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
193223
NY

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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