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1346512381
EDWIN X VICIOSO M D P C
NEW ROCHELLE, NY
NPI
1346512381
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Entity Type
Organization
Authorized Contact
EDWIN XAVIER VICIOSO
Owner
914-409-5211
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 250531)
Enumeration Date
2012-02-07
Last Update Date
2013-06-19
Business Address
EDWIN X VICIOSO M D P C
16 GUION PL SOUND SHORE MEDICAL CENTER ANESTHESIA DEPARTMENT
NEW ROCHELLE, NY 10801-5502
Phone number: 914-409-5211
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Mailing Address
EDWIN X VICIOSO M D P C
PO BOX 270
MASSAPEQUA PARK, NY 11762-0270
Phone number: 631-264-2035
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