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1508413097
PROGRESSIVE MEDICAL PLLC
STATEN ISLAND, NY
NPI
1508413097
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Entity Type
Organization
Authorized Contact
ELLIS ENABOSI
Owner
973-280-9600
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-08-20
Last Update Date
2019-12-23
Business Address
PROGRESSIVE MEDICAL PLLC
455 JERSEY ST
STATEN ISLAND, NY 10301-2976
Phone number: 718-524-5611
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Mailing Address
PROGRESSIVE MEDICAL PLLC
460 N MAPLE AVE
EAST ORANGE, NJ 07017-4674
Phone number:
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