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Organization

MLS MEDICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT KORMENDI M.D. (PRESIDENT)
(718) 523-4141
Entity
Organization

Contact information

Practice address
8339 DANIELS ST, BRIARWOOD, NY 11435-1208
(718) 523-4141
(718) 206-0302
Mailing address
14160 PERSHING CRES, BRIARWOOD, NY 11435-1946
(718) 523-4141
(718) 206-0302

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
206148
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01765833
NY
Enumeration date
11/16/2007
Last updated
11/16/2007
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