The Med Station PC

NPI #1992900583 in Glen Cove, New York

Provider Information

NPI Number
1992900583
Entity Type
Organization
Organization Name
The Med Station PC
Primary Specialty
Internal Medicine
Enumeration Date
Jun 15, 2007
Last Updated
May 7, 2008

Practice Location

Address
104 FOREST AVE
ZIP Code
11542-2015
Phone
(516) 759-5406

Authorized Official

Name
DR. RUSSELL H SAMUEL, M.D.
Title
OWNER
Phone
(516) 759-5406

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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