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1518048750
OMAR PORFIRIO AVILES
MINEOLA, NY
NPI
1518048750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 117301)
Enumeration Date
2006-10-17
Last Update Date
2016-04-04
Business Address
-- OMAR PORFIRIO AVILES MD
161 SAVILLE ROAD
MINEOLA, NY 11501-2341
Phone number: 516-746-5456
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Mailing Address
-- OMAR PORFIRIO AVILES MD
161 SAVILLE ROAD
MINEOLA, NY 11501-2341
Phone number: 516-746-5456
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