PRIDE MEDICAL, PLLC

NEW YORK, NY
NPI1922214600
Entity TypeOrganization
Authorized ContactPUNYADECH PHOTANGTHAM
Owner
917-656-2951
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2007-05-16
Last Update Date2015-11-23
Business Address
PRIDE MEDICAL, PLLC
3875 BROADWAY UNIT B
NEW YORK, NY 10032-1567
Phone number: 917-656-2951
Mailing Address
PRIDE MEDICAL, PLLC
3875 BROADWAY UNIT B
NEW YORK, NY 10032-1567
Phone number: 917-656-2951
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