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Organization
MEDALLIANCE MEDICAL HEALTH SERVICES
Active
Organization
MEDALLIANCE MEDICAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHRIAR DANESHVAR (CEO)
(718) 933-1900
Entity
Organization
Contact information
Practice address
625 E FORDHAM RD, BRONX, NY 10458
(718) 933-1900
(718) 563-4039
Mailing address
625 E FORDHAM RD, BRONX, NY 10458
(718) 933-1900
(718) 563-4039
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NY
Other
Enumeration date
02/04/2008
Last updated
02/14/2008
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