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1174014971
GRAMERCY MEDICAL PC
WOODSIDE, NY
NPI
1174014971
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Entity Type
Organization
Authorized Contact
MARY ANN WINHEIM
Credentialing Agent
845-270-7648
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
GRAMERCY MEDICAL PC
3120 54TH ST STE L2
WOODSIDE, NY 11377-1549
Phone number: 718-476-5859
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Mailing Address
GRAMERCY MEDICAL PC
3120 54TH ST STE L2
WOODSIDE, NY 11377-1549
Phone number: 718-476-5859
Copy
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