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Organization

UNITED IONM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLEN GREMILLION (VICE PRESIDENT)
(516) 404-7717
Entity
Organization

Contact information

Practice address
50 ROSE PL, GARDEN CITY PARK, NY 11040-5312
(516) 404-7717
Mailing address
50 ROSE PL, GARDEN CITY PARK, NY 11040-5312
(516) 404-7717

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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