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1083921779
1501 MEDICAL PC
BROOKLYN, NY
NPI
1083921779
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Entity Type
Organization
Authorized Contact
ILYA PAVLOV AKSELRUD
Owner
718-837-2660
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
1501 MEDICAL PC
1501 80TH ST STE 1
BROOKLYN, NY 11228-2533
Phone number: 718-837-2660
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Mailing Address
1501 MEDICAL PC
1501 80TH ST STE 1
BROOKLYN, NY 11228-2533
Phone number: 718-837-2660
Copy
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