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1912052994
VITO FRANK TAVERNA
RIDGEWOOD, NY
NPI
1912052994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 156618)
Enumeration Date
2007-01-23
Last Update Date
2016-01-19
Business Address
Dr. VITO FRANK TAVERNA M.D.
6062 PALMETTO ST
RIDGEWOOD, NY 11385-3241
Phone number: 718-821-4443
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Mailing Address
Dr. VITO FRANK TAVERNA M.D.
6062 PALMETTO ST
RIDGEWOOD, NY 11385-3241
Phone number: 718-821-4443
Copy
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