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Organization

OASIS MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEELAMMA SAMUEL OWNER (MD)
(917) 336-8422
Entity
Organization

Contact information

Practice address
6 TUXEDO AVE, NEW HYDE PARK, NY 11040-3519
(516) 248-1450
(516) 248-1405
Mailing address
6 TUXEDO AVE, NEW HYDE PARK, NY 11040-3519
(516) 248-1450
(516) 248-1405

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/12/2022
Last updated
10/12/2022
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