FANNY MANTILLA

BRONX, NY
NPI1568416980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  212807)
Enumeration Date2006-05-20
Last Update Date2007-07-08
Business Address
Dr. FANNY MANTILLA
4422 3RD AVE CARE OF ER DEPARTMENT
BRONX, NY 10457-2545
Phone number: 718-960-6103
Mailing Address
Dr. FANNY MANTILLA
4422 3RD AVE CARE OF ER DEPARTMENT
BRONX, NY 10457-2545
Phone number: 718-960-6103
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