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Organization

GOLDEN OAK MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KANDICE KING (CREDENTIALING SPECIALIST)
(847) 228-3303
Entity
Organization

Contact information

Practice address
334 HILLSIDE DR S, NEW HYDE PARK, NY 11040-2720
(718) 598-6808
(770) 502-6792
Mailing address
334 HILLSIDE DR S, NEW HYDE PARK, NY 11040-2720
(718) 598-6808
(770) 502-6792

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
02/04/2019
Last updated
06/26/2020
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