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1376774513
EASTERN BROOKLYN IPA LLC
JAMAICA, NY
NPI
1376774513
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Entity Type
Organization
Authorized Contact
CAMILLE PHILIPPE
Mbr
718-658-2448
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-08-05
Last Update Date
2009-08-05
Business Address
EASTERN BROOKLYN IPA LLC
16405 HILLSIDE AVE
JAMAICA, NY 11432-4140
Phone number: 718-658-2448
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Mailing Address
EASTERN BROOKLYN IPA LLC
16405 HILLSIDE AVE
JAMAICA, NY 11432-4140
Phone number: 718-658-2448
Copy
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