VANESSA D PRATOMO

BRONX, NY
NPI1801109814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  256489)
Enumeration Date2010-07-19
Last Update Date2010-07-19
Business Address
-- VANESSA D PRATOMO MD
360 E 193RD ST
BRONX, NY 10458-4710
Phone number: 718-920-5521
Mailing Address
-- VANESSA D PRATOMO MD
3544 JEROME AVE
BRONX, NY 10467-1005
Phone number: 718-920-5521