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1700829108
MARCO BUSTAMANTE
LONG ISLAND CITY, NY
NPI
1700829108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 227248)
Enumeration Date
2006-06-14
Last Update Date
2008-06-09
Business Address
-- MARCO BUSTAMANTE md
2510 30TH AVE
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-267-4245
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Mailing Address
-- MARCO BUSTAMANTE md
2523 31ST AVE
LONG ISLAND CITY, NY 11106-3665
Phone number: 718-777-2733
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