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Organization

WOMENS CANCER CARE OF NEW YORK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK M MORADI M.D. (PRESIDENT)
(718) 380-8080
Entity
Organization

Contact information

Practice address
16416 76TH RD, SECOND FLOOR, FRESH MEADOWS, NY 11366-1255
(718) 380-8080
(718) 380-7649
Mailing address
265 REVERE RD, ROSLYN HEIGHTS, NY 11577-1629
(718) 380-8080
(718) 380-7649

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
207VG0400X
Gynecology Physician
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Enumeration date
02/15/2007
Last updated
05/19/2010
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