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1730638115
1110 PENNSYLVANIA AVENUE MEDICAL PLLC
BROOKLYN, NY
NPI
1730638115
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Entity Type
Organization
Authorized Contact
JACQUELINE STOREY
Physician
646-942-2842
Organization Subpart ?
No
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2016-09-27
Last Update Date
2016-10-05
Business Address
1110 PENNSYLVANIA AVENUE MEDICAL PLLC
1110 PENNSYLVANIA AVE SUITE 5
BROOKLYN, NY 11207-9003
Phone number: 646-942-2842
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Mailing Address
1110 PENNSYLVANIA AVENUE MEDICAL PLLC
1110 PENNSYLVANIA AVE SUITE 5
BROOKLYN, NY 11207-9003
Phone number: 646-942-2842
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