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1407080880
BAY 29 MEDICAL PC
BROOKLYN, NY
NPI
1407080880
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Entity Type
Organization
Authorized Contact
CHITRE NITIN PRABHAKAR
Owner
718-758-4520
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 2002782)
Enumeration Date
2009-05-13
Last Update Date
2009-05-13
Business Address
BAY 29 MEDICAL PC
174 BAY 29TH ST
BROOKLYN, NY 11214-5020
Phone number: 718-758-4520
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Mailing Address
BAY 29 MEDICAL PC
174 BAY 29TH STREET
BROOKLYN, NY 11214
Phone number: 718-758-4520
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