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1669785150
BRONX MODERN MEDICAL. PC
BRONX, NY
NPI
1669785150
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Entity Type
Organization
Authorized Contact
RAY C MIRANDA
Owner
718-676-4600
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 217149)
Enumeration Date
2010-07-26
Last Update Date
2010-07-26
Business Address
BRONX MODERN MEDICAL. PC
446 EAST 149TH STREET
BRONX, NY 10455-1200
Phone number: 718-676-4600
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Mailing Address
BRONX MODERN MEDICAL. PC
446 EAST 149TH STREET
BRONX, NY 10455-1200
Phone number: 718-676-4600
Copy
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