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1982968939
334 MEDICAL PC
BRONX, NY
NPI
1982968939
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Entity Type
Organization
Authorized Contact
DEAN BASULTO
M.D
718-993-0200
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 205919)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
334 MEDICAL PC
334 GRAND CONCOURSE
BRONX, NY 10451-5409
Phone number: 718-993-0200
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Mailing Address
334 MEDICAL PC
334 GRAND CONCOURSE
BRONX, NY 10451-5409
Phone number: 718-993-0200
Copy
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