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1568416980
FANNY MANTILLA
BRONX, NY
NPI
1568416980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 212807)
Enumeration Date
2006-05-20
Last Update Date
2007-07-08
Business Address
Dr. FANNY MANTILLA
4422 3RD AVE CARE OF ER DEPARTMENT
BRONX, NY 10457-2545
Phone number: 718-960-6103
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Mailing Address
Dr. FANNY MANTILLA
4422 3RD AVE CARE OF ER DEPARTMENT
BRONX, NY 10457-2545
Phone number: 718-960-6103
Copy
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