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1306816285
BOSTON ROAD MEDICAL PRACTICE PC
BRONX, NY
NPI
1306816285
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Entity Type
Organization
Authorized Contact
VALERI KAZAKOV
Owner Of The Medical Practice
718-863-8663
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-01-24
Last Update Date
2010-09-07
Business Address
BOSTON ROAD MEDICAL PRACTICE PC
2190 BOSTON RD SUITE 1N
BRONX, NY 10462-1201
Phone number: 718-863-8663
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Mailing Address
BOSTON ROAD MEDICAL PRACTICE PC
31 AMANDA LN
NEW ROCHELLE, NY 10804-3313
Phone number: 718-863-8621
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