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3586 Boston Rd Bronx NY 10469-2519 | |
(718) 652-0044 | |
(718) 652-0042 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 3586 Boston Rd, Bronx, New York |
Authorized Official Name and Position | Flora Adelaide Antwi (PRESIDENT) |
Authorized Official Contact | 7186520044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3586 Boston Rd Bronx NY 10469-2519 Ph: (718) 652-0044 | 3586 Boston Rd Bronx NY 10469-2519 Ph: (718) 652-0044 |
NPI Number | 1366834186 |
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Provider Enumeration Date | 03/03/2015 |
Last Update Date | 03/03/2015 |
Identifier | Type | State | Issuer |
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1366834186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4307261 (New York) | Primary |
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