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1215554035
MANJU KOYAKKATTU THOMAS
BRONX, NY
NPI
1215554035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 345568-01)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
MANJU KOYAKKATTU THOMAS
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4000
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Mailing Address
MANJU KOYAKKATTU THOMAS
1 SADDLE LN
NEW CITY, NY 10956-6013
Phone number: 845-653-6533
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