AINIE SOETANTO

BRONX, NY
NPI1942640644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  26938410)
Enumeration Date2013-06-27
Last Update Date2013-06-27
Business Address
-- AINIE SOETANTO M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2625
Mailing Address
-- AINIE SOETANTO M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2625
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