BOSTON ROAD MEDICAL PRACTICE PC

BRONX, NY
NPI1306816285
Entity TypeOrganization
Authorized ContactVALERI KAZAKOV
Owner Of The Medical Practice
718-863-8663
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-01-24
Last Update Date2010-09-07
Business Address
BOSTON ROAD MEDICAL PRACTICE PC
2190 BOSTON RD SUITE 1N
BRONX, NY 10462-1201
Phone number: 718-863-8663
Mailing Address
BOSTON ROAD MEDICAL PRACTICE PC
31 AMANDA LN
NEW ROCHELLE, NY 10804-3313
Phone number: 718-863-8621
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