NY Mobile Medical PC

NPI #1740865773 in Leesburg, Florida

Provider Information

NPI Number: 1740865773
Entity Type: Organization
Organization Name: NY Mobile Medical PC
Primary Specialty: Specialist
Enumeration Date: Mar 11, 2021
Last Updated: Mar 11, 2021

Practice Location

Address: 700 N PALMETTO ST
City: Leesburg
State: Florida
ZIP Code: 34748-4419
Phone: (203) 869-5515

Authorized Official

Name: GLENN GANDELMAN, MD
Title: CEO
Phone: (203) 869-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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