ProviderBusinessMailingAddressFaxNumber = '7187397413'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1073936308
FAAN MEDICAL SERVICES PC
278 PARK AVE
WILLISTON PARK
NY
115961135
1740461334
PRIME CARE MEDICAL GROUP PC
16806 HILLSIDE AVE
JAMAICA
NY
114324341
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