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1063741023
KECIA PATREASE FORD
EAST MEADOW, NY
NPI
1063741023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 60 247332)
Enumeration Date
2009-12-21
Last Update Date
2015-05-13
Business Address
-- KECIA PATREASE FORD M.D.
30 MERRICK AVE # 105
EAST MEADOW, NY 11554-1580
Phone number: 516-542-0255
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Mailing Address
-- KECIA PATREASE FORD M.D.
107 PIERSON AVE
HEMPSTEAD, NY 11550-7331
Phone number: 917-940-7687
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