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1447964903
RAUL ULLOA MEDICAL PC
WOODSIDE, NY
NPI
1447964903
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Entity Type
Organization
Authorized Contact
BRYAN HILARIO
Administrator
917-773-2505
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
RAUL ULLOA MEDICAL PC
6914 41ST AVE # C2
WOODSIDE, NY 11377-4028
Phone number: 917-773-2505
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Mailing Address
RAUL ULLOA MEDICAL PC
2230 TENBROECK AVE
BRONX, NY 10469-5414
Phone number: 917-773-2505
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