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210 MINEOLA MEDICAL PC — NPI 1821566969 – Denial Journal
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Organization

210 MINEOLA MEDICAL PC

NPI 1821566969 Active Family Medicine
Quick Facts
NPI Number
1821566969
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2018-11-07
Last Updated (NPPES)
2018-11-07

Primary Specialty / Taxonomy

TaxonomyFamily Medicine
Taxonomy Code207Q00000X

Practice Address

210 OLD COUNTRY RD
MINEOLA, NY 115014218

Phone: 516-279-4400

Mailing Address

211 BROADWAY STE 205
LYNBROOK, NY 115633290

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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