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1558722546
ST SEBASTIAN MEDICAL PC
BRONX, NY
NPI
1558722546
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Entity Type
Organization
Authorized Contact
ALEXSANDER V BALDONADO
Md
347-397-7563
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
ST SEBASTIAN MEDICAL PC
20 W 190TH ST # W
BRONX, NY 10468-4356
Phone number: 999-999-9999
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Mailing Address
ST SEBASTIAN MEDICAL PC
20 W 190TH ST # W
BRONX, NY 10468-4356
Phone number:
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