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Pavo Cristatus Medical Pc
Specialist in Great Neck, New York
NPI 1972065068

Pavo Cristatus Medical Pc is a Specialist based in Great Neck, NY. Pavo Cristatus Medical Pc practices in Great Neck, NY. The NPI Number for Pavo Cristatus Medical Pc is 1972065068 and holds a License No. (New York).

The current practice location address for Pavo Cristatus Medical Pc is 1010 Northern Blvd Ste 208, Great Neck, NY and can be reached out via phone at 718-464-0122.

Location: 1010 Northern Blvd Ste 208, Great Neck, NY, 11021-5320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972065068
Provider Name
Pavo Cristatus Medical Pc
Credential
Provider Entity Type
Organization
Address
1010 Northern Blvd Ste 208, Great Neck, NY, 11021-5320
Phone Number
718-464-0122
Fax Number
Provider Enumeration Date
04/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01583586 05 NY
institution
Provider Business Practice Location Address Details
Address
1010 Northern Blvd Ste 208
City
Great Neck
State
New York
Zip
11021-5320
Phone Number
718-464-0122
Fax Number
person
Provider Business Mailing Address Details
Address
1010 Northern Blvd Ste 208
City
Great Neck
State
New York
Zip
11021-5320
Phone Number
718-464-0122
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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