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Organization

HEMPSTEAD MEDICAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANKUR PATEL (CREDENTIALING COORDINATOR)
(908) 966-7395
Entity
Organization

Contact information

Practice address
500 FRONT ST, HEMPSTEAD, NY 11550-4445
(516) 584-5176
Mailing address
500 FRONT ST, HEMPSTEAD, NY 11550-4445
(516) 584-5176

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190227000243
LICENSE
NY
Enumeration date
03/07/2019
Last updated
03/07/2019
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