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1942226410
GUSTAVO RAUL DEPETRIS
ASTORIA, NY
NPI
1942226410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 196792)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
Dr. GUSTAVO RAUL DEPETRIS md
2322 30TH AVE 2ND FLOOR
ASTORIA, NY 11102-3255
Phone number: 718-956-7988
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Mailing Address
Dr. GUSTAVO RAUL DEPETRIS md
2322 30TH AVE 2ND FLOOR
ASTORIA, NY 11102-3255
Phone number: 718-956-7988
Copy
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