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GAMALIEL IMMANUEL MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAMALIEL IMMANUEL M.D. (OWNER)
(516) 503-6139
Entity
Organization

Contact information

Practice address
230 HILTON AVE STE 214, HEMPSTEAD, NY 11550-8116
(516) 565-5556
(516) 483-0396
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2030

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary

Other

Enumeration date
06/06/2017
Last updated
06/15/2017
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