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Organization

A MEDICAL OFFICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELIX GOROHOVSKY (MANAGER)
(917) 714-3874
Entity
Organization

Contact information

Practice address
1811 QUENTIN RD, #1H, BROOKLYN, NY 11229-1343
(718) 336-3500
Mailing address
17 HARMON ST, LONG BEACH, NY 11561-2707
(718) 336-3500

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01867394
NY
Enumeration date
10/10/2007
Last updated
07/26/2008
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