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Organization

LONG BEACH FCC PHYSICIAN PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA A LLERANDI (DIRECTOR OF PATIENT ACCOUNTS)
(516) 897-1065
Entity
Organization

Contact information

Practice address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1065
(516) 897-8347
Mailing address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1065
(516) 897-8347

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
NY

Other

Enumeration date
09/28/2010
Last updated
09/28/2010
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