Oedmg Medical PC
NPI #1578728424 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1578728424
- Entity Type
- Organization
- Organization Name
- Oedmg Medical PC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 21, 2008
- Last Updated
- Nov 7, 2008
Practice Location
- Address
- 201 PORTION RD STE B
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4172
- Phone
- (516) 872-7001
Authorized Official
- Name
- DANIEL ROBERT LANDOLPHI, MD
- Title
- DIRECTOR
- Phone
- (516) 872-7001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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