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1912417254
UPPER WEST SIDE MEDICAL DOCTOR PLLC
NEW YORK, NY
NPI
1912417254
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Entity Type
Organization
Authorized Contact
BHAVANA KRANTHI
Owner
732-429-6513
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2017-09-30
Last Update Date
2017-12-05
Business Address
UPPER WEST SIDE MEDICAL DOCTOR PLLC
46 W 86TH ST STE 1A
NEW YORK, NY 10024-3633
Phone number: 908-962-1000
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Mailing Address
UPPER WEST SIDE MEDICAL DOCTOR PLLC
46 W 86TH ST
NEW YORK, NY 10024-3633
Phone number: 732-429-6513
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