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1053323550
BASILIO CORDOBA
BROOKLYN, NY
NPI
1053323550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 155028)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
-- BASILIO CORDOBA
4802 TENTH AVE
BROOKLYN, NY 11219
Phone number: 718-283-1931
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Mailing Address
-- BASILIO CORDOBA
4802 TENTH AVE
BROOKLYN, NY 11219
Phone number: 718-283-1931
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