Organization
LONG ISLAND GERIATRIC MEDICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE RABER DO (PHYSICIAN/OWNER)
(516) 942-7740
Entity
Organization
Contact information
Practice address
108 IVY ST, OYSTER BAY, NY 11771-3504
(516) 942-7740
(516) 942-7740
Mailing address
108 IVY ST, OYSTER BAY, NY 11771-3504
(516) 942-7740
(516) 942-7740
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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