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1619351780
MINA SOURIAL
BRONX, NY
NPI
1619351780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-07-17
Last Update Date
2019-09-17
Business Address
Dr. MINA SOURIAL M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
Dr. MINA SOURIAL M.D.
1716 WILLIAMSBRIDGE RD
BRONX, NY 10461-6204
Phone number: 845-729-4722
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