Revv Medical Diagnostic PC

NPI #1255663910 in Ronkonkoma, New York

Provider Information

NPI Number: 1255663910
Entity Type: Organization
Organization Name: Revv Medical Diagnostic PC
Primary Specialty: Specialist
Enumeration Date: Feb 5, 2010
Last Updated: Feb 17, 2011

Practice Location

Address: 201 PORTION RD
Address 2: SUITE B
City: Ronkonkoma
State: New York
ZIP Code: 11779-4172
Phone: (516) 872-7001

Authorized Official

Name: DR. LEE S MARCUS, MD
Title: OWNER
Phone: (516) 872-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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