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1588002265
MARY LYNN COLAVITA
BRONX, NY
NPI
1588002265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
Dr. MARY LYNN COLAVITA M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
Dr. MARY LYNN COLAVITA M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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