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Organization

MASSAPEQUA INTERNAL MEDICINE ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BIANCA TUNISON (ADMINISTRATOR)
(516) 799-6491
Entity
Organization

Contact information

Practice address
850 HICKSVILLE RD, SEAFORD, NY 11783-1300
(516) 798-0141
Mailing address
850 HICKSVILLE RD, SUITE 104, SEAFORD, NY 11783-1300
(516) 798-0141
(516) 798-0694

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
129708
NY

Other

Enumeration date
05/08/2006
Last updated
09/24/2008
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