BRASIL & SHININ PHYSICIANS PC
Osteopathic Medicine in Canaan Lake, NY

License number
New York 238120
Category
Osteopathic Medicine
Type
Family Medicine
License number
New York 221648
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. NANCY BRASIL-KOLICH MD
Title: PRESIDENT
Phone: (631) 207-4200
Address
Address
33 Medford Ave Suite E, Canaan Lake, NY 11772
National Provider ID: 1972783348
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRASIL & SHININ PHYSICIANS, PC

Babylon, NY  -  Canaan Lake, NY

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jun 18, 2007
Addresses:
190 Sexton Rd, West Babylon, NY 11704 (Physical)
33 Medford Ave STE E, Patchogue, NY 11772 (Physical)
State ID:
3532340
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chairman:
Nancy Brasil Kolich Chairman, inactive, 33 Medford Ave STE E, Patchogue, NY 11772 (Physical)

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