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Organization
PELHAM BAY COMMUNITY MEDICAL, PC
Active
Organization
PELHAM BAY COMMUNITY MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRICO F D'ANGELO M.D (MEDICAL DIRECTOR)
(516) 620-4546
Entity
Organization
Contact information
Practice address
3859 EAST TREMONT AVENUE, BRONX, NY 10465
(718) 828-3906
(516) 620-4246
Mailing address
7 CENTER DR, DOUGLASTON, NY 11363-1213
(516) 620-4246
(516) 620-4807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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