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Organization

COURTYARD AT MCC

Active
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Organization

COURTYARD AT MCC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN OSTROW (CHIEF EXECUTIVE OFFICER)
(516) 277-2055
Entity
Organization

Contact information

Practice address
320 WEST MERRICK RD., FREEPORT, NY 11520
(516) 208-1250
Mailing address
11 MIDDLE NECK RD. SUITE 202, GREATNECK, NY 11021

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
305S00000X
Point of Service
Primary

Other

Enumeration date
02/24/2014
Last updated
02/24/2014
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