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1902004484
FAMILY MEDICAL CARE OF MARINE PARK, P.C.
BROOKLYN, NY
NPI
1902004484
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Entity Type
Organization
Authorized Contact
EUGENE JOHN MANCUSO
President
718-998-9669
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-07-06
Last Update Date
2014-05-28
Business Address
FAMILY MEDICAL CARE OF MARINE PARK, P.C.
2915 AVENUE S
BROOKLYN, NY 11229-2544
Phone number: 718-998-9669
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Mailing Address
FAMILY MEDICAL CARE OF MARINE PARK, P.C.
2915 AVENUE S
BROOKLYN, NY 11229
Phone number: 718-998-9669
Copy
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