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1902048911
VILLAGE FAMILY PRACTICE, PC
NEW YORK, NY
NPI
1902048911
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Entity Type
Organization
Authorized Contact
JERRY CLEMENTS
President
212-477-1750
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 166889)
Enumeration Date
2009-04-06
Last Update Date
2010-04-22
Business Address
VILLAGE FAMILY PRACTICE, PC
30 5TH AVE
NEW YORK, NY 10011-8859
Phone number: 212-477-1750
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Mailing Address
VILLAGE FAMILY PRACTICE, PC
30 5TH AVE
NEW YORK, NY 10011-8859
Phone number: 212-477-1750
Copy
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