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Organization
AGAPE COMPREHENSIVE MEDICAL OFFICE PC
Active
Organization
AGAPE COMPREHENSIVE MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO ALMANZAR (DELEGATED OFFICIAL)
(201) 921-5063
Entity
Organization
Contact information
Practice address
518 E 149TH ST, BRONX, NY 10455-2812
(917) 444-1676
(718) 993-9319
Mailing address
560 HUDSON ST STE 301, HACKENSACK, NJ 07601-6655
(917) 444-1676
(718) 993-9319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
11/05/2019
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