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Organization

RICHARD S. OBEDIAN MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD S OBEDIAN MD (PRESIDENT)
(516) 933-4350
Entity
Organization

Contact information

Practice address
81 N BROADWAY, HICKSVILLE, NY 11801-2920
(516) 933-4350
Mailing address
PO BOX 1118, SYOSSET, NY 11791-0489
(516) 933-4350

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200521
NY

Other

Enumeration date
03/27/2009
Last updated
05/19/2011
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