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Organization

LONG BEACH FAMILY MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SERGEY KULIKOV D.O. (PRES.)
(516) 889-0100
Entity
Organization

Contact information

Practice address
10 FRANKLIN BLVD APT 102, LONG BEACH, NY 11561-4511
(516) 889-0100
Mailing address
10 FRANKLIN BLVD APT 102, LONG BEACH, NY 11561-4511
(516) 889-0100
(516) 897-2425

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
05/01/2007
Last updated
09/25/2015
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