Organization
ON-SITE MEDICAL DIAGNOSTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB GEBRAEL M.D. (OWNER)
(201) 893-6663
Entity
Organization
Contact information
Practice address
271 NORTH AVE, SUITE # 316, NEW ROCHELLE, NY 10801-5104
(201) 893-6663
Mailing address
40 MEMORIAL HWY, #34F, NEW ROCHELLE, NY 10801-8312
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
260144
NY
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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