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1871252890
AVENUE MEDICAL WELLNESS PC
NEW YORK, NY
NPI
1871252890
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Entity Type
Organization
Authorized Contact
SHERA RAISEN
Lead Physician
646-200-5750
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
AVENUE MEDICAL WELLNESS PC
535 5TH AVE RM 603
NEW YORK, NY 10017-8009
Phone number: 646-200-5750
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Mailing Address
AVENUE MEDICAL WELLNESS PC
535 5TH AVE RM 603
NEW YORK, NY 10017-8009
Phone number: 646-200-5757
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