Organization
INTERNATIONAL TRAVEL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATIANA SIMON (ADMINISTRATOR)
(516) 626-2518
Entity
Organization
Contact information
Practice address
200 S SERVICE RD STE 212, ROSLYN HTS, NY 11577-2118
(516) 626-2004
(516) 626-2583
Mailing address
200 S SERVICE RD STE 212, ROSLYN HTS, NY 11577-2118
(516) 626-2518
(516) 626-2583
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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