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1932448701
ISRAEL WILLIS
BRONX, NY
NPI
1932448701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: NY 268360-1)
Enumeration Date
2013-02-13
Last Update Date
2018-11-20
Business Address
ISRAEL WILLIS
2015 GRAND CONCOURSE
BRONX, NY 10453
Phone number: 718-299-7295
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Mailing Address
ISRAEL WILLIS
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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