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1154904803
GRACE A TACKIE
BRONX, NY
NPI
1154904803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 330740)
Enumeration Date
2021-04-30
Last Update Date
2024-11-12
Business Address
GRACE A TACKIE MD
234 E 149TH ST FL 4
BRONX, NY 10451-5504
Phone number: 718-579-5800
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Mailing Address
GRACE A TACKIE MD
234 E 149TH ST FL 4
BRONX, NY 10451-5504
Phone number: 718-579-5800
Copy
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