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1861063505
FERNANDO ENRIQUE AMADOR FIALLOS
BRONX, NY
NPI
1861063505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-07-04
Last Update Date
2021-07-04
Business Address
FERNANDO ENRIQUE AMADOR FIALLOS MD
4222 3RD AVE
BRONX, NY 10457-4502
Phone number: 718-960-9000
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Mailing Address
FERNANDO ENRIQUE AMADOR FIALLOS MD
230 E 78TH ST APT 29
NEW YORK, NY 10075-2025
Phone number: 917-846-0953
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