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1356831697
WALLIS TAVAREZ GARCIA
BRONX, NY
NPI
1356831697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 313131)
Enumeration Date
2018-05-11
Last Update Date
2024-01-18
Business Address
WALLIS TAVAREZ GARCIA MD
234 E 149TH ST
BRONX, NY 10451
Phone number: 718-579-5000
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Mailing Address
WALLIS TAVAREZ GARCIA MD
234 E 149TH ST
BRONX, NY 10451-5504
Phone number:
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