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1396008801
1957 BRONX MEDICAL P.C.
REGO PARK, NY
NPI
1396008801
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Entity Type
Organization
Authorized Contact
ILYA SMUGLIN
Director
917-842-2854
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 221943)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
1957 BRONX MEDICAL P.C.
9924 64TH AVE
REGO PARK, NY 11374-2645
Phone number: 917-842-2854
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Mailing Address
1957 BRONX MEDICAL P.C.
9924 64TH AVE
REGO PARK, NY 11374-2645
Phone number:
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