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Individual

RONALD A. PRIMIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
242 MERRICK RD, SUITE 301, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
(516) 536-1598
Mailing address
242 MERRICK RD, SUITE 301, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
(516) 536-1598

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
094624
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00385617
NY
01
W15181
GROUP#
Enumeration date
07/15/2005
Last updated
07/08/2007
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