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Organization
VIP BAY 29 MEDICAL.PC
Active
Organization
VIP BAY 29 MEDICAL.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONGMING MAO MD (OWNER)
(718) 758-4520
Entity
Organization
Contact information
Practice address
174 BAY 29 STREET, BROOKLYN, NY 11214
(718) 758-4520
(718) 375-2735
Mailing address
174 BAY 29 STREET, BROOKLYN, NY 11214
(718) 758-4520
(718) 375-2735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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