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Organization
TOTTENVILLE MEDICAL PAVILION, PLLC
Active
Organization
TOTTENVILLE MEDICAL PAVILION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARI F CEKA MD (MEDICAL DIRECTOR)
(718) 356-5600
Entity
Organization
Contact information
Practice address
7098 AMBOY ROAD, STATEN ISLAND, NY 10307
(718) 356-5600
Mailing address
7098 AMBOY ROAD, STATEN ISLAND, NY 10307
(718) 356-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234924
NY
Other
Enumeration date
11/15/2006
Last updated
03/31/2014
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