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1851848618
WELLCARE OF BX MEDICAL PC
BRONX, NY
NPI
1851848618
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Entity Type
Organization
Authorized Contact
SVETLANA KHANDROS
Owner
718-220-0439
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 228243)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
WELLCARE OF BX MEDICAL PC
2336 GRAND CONCOURSE
BRONX, NY 10458-6903
Phone number: 718-220-0439
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Mailing Address
WELLCARE OF BX MEDICAL PC
2336 GRAND CONCOURSE
BRONX, NY 10458-6903
Phone number: 718-220-0439
Copy
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