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1033537048
DEREK MAZIQUE
NEW YORK, NY
NPI
1033537048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 288108)
Enumeration Date
2014-04-07
Last Update Date
2024-09-05
Business Address
DEREK MAZIQUE
5141 BROADWAY
NEW YORK, NY 10034
Phone number: 212-932-5218
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Mailing Address
DEREK MAZIQUE
630 W 168TH ST # 4
NEW YORK, NY 10032-3725
Phone number: 212-932-5218
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