Organization
TAL MEDNICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAL MEDNICK MD (PRESIDENT)
(631) 309-5222
Entity
Organization
Contact information
Practice address
350 VETERANS MEMORIAL HWY STE 2, COMMACK, NY 11725-4316
(631) 309-5222
(631) 303-3380
Mailing address
350 VETERANS MEMORIAL HWY STE 2, COMMACK, NY 11725-4316
(631) 309-5222
(631) 303-3380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270642
LICENSE
NY
Enumeration date
07/20/2022
Last updated
04/17/2023
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