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1194830265
43RD ST FAMILY PRACTICE PLLC
SUNNYSIDE, NY
NPI
1194830265
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Entity Type
Organization
Authorized Contact
DURGA MADDINENI
Md
718-392-2220
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 227095)
Enumeration Date
2006-08-20
Last Update Date
2016-03-31
Business Address
43RD ST FAMILY PRACTICE PLLC
4543 43RD ST
SUNNYSIDE, NY 11104-2609
Phone number: 718-392-2220
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Mailing Address
43RD ST FAMILY PRACTICE PLLC
4543 43RD ST
SUNNYSIDE, NY 11104-2609
Phone number: 718-392-2220
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