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1801109814
VANESSA D PRATOMO
BRONX, NY
NPI
1801109814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 256489)
Enumeration Date
2010-07-19
Last Update Date
2010-07-19
Business Address
-- VANESSA D PRATOMO MD
360 E 193RD ST
BRONX, NY 10458-4710
Phone number: 718-920-5521
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Mailing Address
-- VANESSA D PRATOMO MD
3544 JEROME AVE
BRONX, NY 10467-1005
Phone number: 718-920-5521
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