NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1720178486
QLIMG LAKE SUCCESS/NEW HYDE PARK MED. OFFICE
1991 MARCUS AVE
NEW HYDE PARK
NY
110422057
1376584516
SHIN
YOUNG
H
55 WATER ST FL 12
NEW YORK
NY
100410004
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