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1114265766
EVERICK AYALA-BUSTAMANTE
BRONX, NY
NPI
1114265766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 267626)
Enumeration Date
2013-01-16
Last Update Date
2019-07-10
Business Address
EVERICK AYALA-BUSTAMANTE MD
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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Mailing Address
EVERICK AYALA-BUSTAMANTE MD
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
Copy
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