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1053921957
TITAN PRIMARY CARE, INC
JACKSON HEIGHTS, NY
NPI
1053921957
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Entity Type
Organization
Authorized Contact
PABLO ESTEBAN BUSTOS
CEO
623-738-6372
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine Addiction Medicine
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
TITAN PRIMARY CARE, INC
3753 90TH ST STE 11
JACKSON HEIGHTS, NY 11372-7879
Phone number: 623-738-6372
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Mailing Address
TITAN PRIMARY CARE, INC
3753 90TH ST STE 11
JACKSON HEIGHTS, NY 11372-7879
Phone number: 623-738-6372
Copy
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