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Soltani Medical PC

Internal Medicine in Woodbury, NY. Organization (NPI-2).

NPI number1962894089
StatusActive
Last updated in NPPESFeb 26, 2015

Details

NPI
1962894089
Entity type
Organization (NPI-2)
Legal business name
Soltani Medical PC
Organization subpart
No
Enumeration date
Feb 26, 2015
Last updated
Feb 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine266941NYYes

Practice location

11 Joyce Ct
Woodbury, NY 11797-2110

Phone 917-348-0063

Mailing address

11 Joyce Ct
Woodbury, NY 11797-2110

Authorized official

Peter Soltani
Physician
9173480063

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