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1871057026
TRAVIS ISAIAH MCKOY
BRONX, NY
NPI
1871057026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
TRAVIS ISAIAH MCKOY
529 COURTLANDT AVE FL 4
BRONX, NY 10451-5007
Phone number: 914-997-8000
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Mailing Address
TRAVIS ISAIAH MCKOY
1130 UNDERHILL AVE
BRONX, NY 10472-4804
Phone number: 914-513-6789
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