Organization
GREAT NECK MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN SAMUEL WINER BEN-SOREK M.D. (PRESIDENT)
(516) 466-3640
Entity
Organization
Contact information
Practice address
35 VALLEY VIEW RD, GREAT NECK, NY 11021-3917
(516) 466-3640
(516) 570-2290
Mailing address
35 VALLEY VIEW RD, GREAT NECK, NY 11021-3917
(516) 466-3640
(516) 570-2290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183765
NY
Other
Enumeration date
08/31/2005
Last updated
08/07/2008
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