Iron Clad Medical Diagnostic P.c.

NPI #1467715284 in Ronkonkoma, New York

Provider Information

NPI Number: 1467715284
Entity Type: Organization
Organization Name: Iron Clad Medical Diagnostic P.c.
Primary Specialty: Specialist
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 3075 VETERANS MEMORIAL HWY
Address 2: SUITE 161
City: Ronkonkoma
State: New York
ZIP Code: 11779-7667
Phone: (631) 648-8860

Authorized Official

Name: DR. RICHARD DENISE
Title: M.D.
Phone: (631) 648-8860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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