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Physicians Internal Medicine Cardiovascular Disease

Provider NPI: 1174559926

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 718-793-6800  Fax: 718-261-4312

Business Mailing Address:
Tel: 718-793-6800  Fax: 718-261-4312

NPI Information:
NPI: 1174559926
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Cardiovascular Disease

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RC0000X





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