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Prevent Diagnostic Corp
Multi-Specialty Clinic/Center in Lake Grove, New York
NPI 1396053450

Prevent Diagnostic Corp is a Multi-Specialty Clinic/Center based in Lake Grove, NY and is specialized in Multi-Specialty. Prevent Diagnostic Corp practices in Lake Grove, NY. The NPI Number for Prevent Diagnostic Corp is 1396053450 and holds a License No. (New York).

The current practice location address for Prevent Diagnostic Corp is 205 Wood Rd, Lake Grove, NY and can be reached out via phone at 631-676-4336 and via fax at 631-676-4337.

Location: 205 Wood Rd, Lake Grove, NY, 11755-1856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396053450
Provider Name
Prevent Diagnostic Corp
Credential
Provider Entity Type
Organization
Address
205 Wood Rd, Lake Grove, NY, 11755-1856
Phone Number
631-676-4336
Fax Number
631-676-4337
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 Wood Rd
City
Lake Grove
State
New York
Zip
11755-1856
Phone Number
631-676-4336
Fax Number
631-676-4337
person
Provider Business Mailing Address Details
Address
205 Wood Rd
City
Lake Grove
State
New York
Zip
11755-1856
Phone Number
631-676-4336
Fax Number
631-676-4337
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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