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Scoma Medical Group PLLC

Internal Medicine, Infectious Disease in Mineola, NY. Organization (NPI-2).

NPI number1982007654
StatusActive
Last updated in NPPESOct 8, 2014

Details

NPI
1982007654
Entity type
Organization (NPI-2)
Legal business name
Scoma Medical Group PLLC
Organization subpart
No
Enumeration date
Oct 8, 2014
Last updated
Oct 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious Disease––Yes

Practice location

173 Mineola Blvd
Suite 401a
Mineola, NY 11501-2528

Phone 516-746-2212 · Fax 516-746-3231

Mailing address

173 Mineola Blvd
Suite 401a
Mineola, NY 11501-2528

Phone 516-746-2212 · Fax 516-746-3231

Authorized official

Michael Scoma
Owner
5167462212

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