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1811240112
WALL STREET PHYSICIAN PLLC
NEW YORK, NY
NPI
1811240112
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Entity Type
Organization
Authorized Contact
CATHY A. CARRON
President
212-784-0072
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 1676231)
Enumeration Date
2012-10-24
Last Update Date
2014-08-15
Business Address
WALL STREET PHYSICIAN PLLC
111 BROADWAY SUITE 402
NEW YORK, NY 10006-1901
Phone number: 212-784-0072
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Mailing Address
WALL STREET PHYSICIAN PLLC
111 BROADWAY SUITE 402
NEW YORK, NY 10006-1901
Phone number: 212-784-0072
Copy
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