PROFESSIONAL EVALUATION MEDICAL GROUP

Exclusive Provider Organization

NPI: 1104960962Organization

Specialties, Licenses & Credentials

Exclusive Provider OrganizationPrimary

Exclusive Provider Organization

Code: 302F00000X

147150(NY)

Contact & Hours

Address: 380 S BROADWAY
HICKSVILLE, NY 11801
Phone: (516) 935-4378

Location

Practice Location

380 S BROADWAY, HICKSVILLE, NY

Quick Facts

NPI: 1104960962
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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