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1578396107
EBONY JANELLI POWELL GAYLE
BRONX, NY
NPI
1578396107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: NY P130068)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
EBONY JANELLI POWELL GAYLE MD
1250 SHAKESPEARE AVE
BRONX, NY 10452-3012
Phone number: 718-583-7736
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Mailing Address
EBONY JANELLI POWELL GAYLE MD
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401
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