Organization
DIFFERENCES PRACTICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL MCLEAN-LONG (PARTNER)
(646) 505-9703
Entity
Organization
Contact information
Practice address
778 PELHAMDALE AVE, NEW ROCHELLE, NY 10801-1416
(914) 633-5803
Mailing address
778 PELHAMDALE AVE, NEW ROCHELLE, NY 10801-1416
(914) 633-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
185983
NY
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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