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Individual

DR. ERIC C LAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2857 JERUSALEM AVE, WANTAGH, NY 11793-2018
(516) 785-2783
(516) 785-2584
Mailing address
990 STEWART AVE, SUITE 400, GARDEN CITY, NY 11530-4822
(516) 222-2022
(516) 222-8475

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167142
NY

Other

Enumeration date
07/02/2006
Last updated
03/01/2012
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