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Individual

STUART OKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21406 16TH AVE, BAYSIDE, NY 11360-1218
(718) 224-3734
Mailing address
21406 16TH AVE, BAYSIDE, NY 11360-1218
(718) 224-3734

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
179656
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01533866
NY
Enumeration date
01/18/2006
Last updated
01/16/2008
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