Type not stated

DOLSON AVENUE MEDICAL PC

Debarred entity

United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    15 Oct 2018

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

Identifiers2

IdentifierNumber
ID number00041901
NPI number1720158660

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