Prevent Diagnostic Corp
NPI #1396053450 in Lake Grove, New York
Provider Information
- NPI Number
- 1396053450
- Entity Type
- Organization
- Organization Name
- Prevent Diagnostic Corp
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 22, 2010
- Last Updated
- Sep 22, 2010
Practice Location
- Address
- 205 WOOD RD
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-1856
- Phone
- (631) 676-4336
Authorized Official
- Name
- GAMZE YANIK
- Title
- PRESIDENT
- Phone
- (631) 676-4336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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