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1225699648
334 GRAND CONCOURSE MEDICAL PC
BRONX, NY
NPI
1225699648
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Entity Type
Organization
Authorized Contact
ERROL C MALLETT
President
718-841-7392
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2019-06-26
Last Update Date
2020-07-06
Business Address
334 GRAND CONCOURSE MEDICAL PC
444 WILLIS AVE
BRONX, NY 10455-4013
Phone number: 718-841-7392
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Mailing Address
334 GRAND CONCOURSE MEDICAL PC
444 WILLIS AVE
BRONX, NY 10455-4013
Phone number: 718-841-7392
Copy
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