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1558972414
SHABNAM POURABOLGHASEM
BRONX, NY
NPI
1558972414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NY 102374)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
Dr. SHABNAM POURABOLGHASEM MD
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
Dr. SHABNAM POURABOLGHASEM MD
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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