Organization
PREVENT DIAGNOSTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMZE YANIK (PRESIDENT)
(631) 676-4336
Entity
Organization
Contact information
Practice address
205 WOOD RD, LAKE GROVE, NY 11755-1856
(631) 676-4336
(631) 676-4337
Mailing address
205 WOOD RD, LAKE GROVE, NY 11755-1856
(631) 676-4336
(631) 676-4337
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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