RENE S MEDIAVILLO

OZONE PARK, NY
NPI1376622019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  136585)
Enumeration Date2006-11-03
Last Update Date2007-07-09
Business Address
Dr. RENE S MEDIAVILLO M.D.
9202 LIBERTY AVE
OZONE PARK, NY 11417-1526
Phone number: 718-835-9729
Mailing Address
Dr. RENE S MEDIAVILLO M.D.
9202 LIBERTY AVE
OZONE PARK, NY 11417-1526
Phone number: 718-835-9729
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