FIVE BOROUGHS MEDICAL ASSOCIATES, P.C.
Medical Practice at Osprey Ave, Northampton, NY

License number
New York 255627
Category
Medical Practice
Type
Specialist
Owner
Name: BRIAN MARMOR
Title: ADMINISTRATOR
Phone: (718) 629-5590
Address
Address 2
36 Osprey Ave, Northampton, NY 11901
PO Box 158, Hicksville, NY 11803
National Provider ID: 1548574155
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIVE BOROUGHS MEDICAL ASSOCIATES, PC

Hicksville, NY  -  Brooklyn, NY

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Oct 23, 2009
Addresses:
PO Box 158, Plainview, NY 11803 (Physical)
1987 Utica Ave, Brooklyn, NY 11234 (Physical)
PO Box 158, Hicksville, NY 11803
State ID:
3870688
Business type:
Domestic Professional Corporation
Brian Marmor, 1987 Utica Ave, Brooklyn, NY 11234 (Physical)

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