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1720159106
PAMELA M DEFOREST
BRONX, NY
NPI
1720159106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 195044)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
PAMELA M DEFOREST MD
CENTENNIAL WOMEN'S CENTER 3332 ROCHAMBEAU AVENUE
BRONX, NY 10467
Phone number: 718-920-5157
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Mailing Address
PAMELA M DEFOREST MD
3673 MARCY ST
MOHEGAN LAKE, NY 10547-1055
Phone number: 718-920-5157
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