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1104150283
JOEL BROCK
STATEN ISLAND, NY
NPI
1104150283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NY 119043)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business Address
-- JOEL BROCK M.D
479 SLEIGHT AVE
STATEN ISLAND, NY 10307-1942
Phone number: 718-605-5225
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Mailing Address
-- JOEL BROCK M.D
479 SLEIGHT AVE
STATEN ISLAND, NY 10307-1942
Phone number: 718-605-5225
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