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Organization

HIGHLAND VALLEY MEDICAL CARE PLLC

Active
Other names
highland valley medical care pllc
Organization subpart
No

Provider details

NPI number
Authorized official
TINA MALEK MANAGER (CREDENTIALING CONTACT)
(631) 413-4765
Entity
Organization

Contact information

Practice address
369 MIDDLE COUNTRY RD STE 1, CORAM, NY 11727-3734
(631) 413-4765
Mailing address
1797 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1537
(631) 413-4765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/18/2023
Last updated
06/05/2024
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