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1093984981
CONCOURSE VILLAGE PRIMARY CARE PLLC
BRONX, NY
NPI
1093984981
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Entity Type
Organization
Authorized Contact
JEAN R. MACENAT
President
718-402-4021
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 211364)
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
CONCOURSE VILLAGE PRIMARY CARE PLLC
769 CONCOURSE VLG W
BRONX, NY 10451-3801
Phone number: 718-402-4021
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Mailing Address
CONCOURSE VILLAGE PRIMARY CARE PLLC
769 CONCOURSE VLG W
BRONX, NY 10451-3801
Phone number: 718-402-4021
Copy
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