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1215953047
THERESA MACK
NEW YORK, NY
NPI
1215953047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 175735)
Enumeration Date
2006-07-14
Last Update Date
2019-04-26
Business Address
THERESA MACK M.D.,
1111 AMSTERDAM AVE
NEW YORK, NY 10025-1716
Phone number: 212-256-3539
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Mailing Address
THERESA MACK M.D.,
150 E 42ND ST FL 9
NEW YORK, NY 10017-5699
Phone number: 646-605-8188
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