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Organization
PRIMECARE MEDICINE P.C.
Active
Organization
PRIMECARE MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELATRE LOLO M.D. (OWNER)
(845) 627-6114
Entity
Organization
Contact information
Practice address
14 RALEIGH DR, NEW CITY, NY 10956-5841
(845) 627-6114
Mailing address
14 RALEIGH DR, NEW CITY, NY 10956-5841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210931
NY
Other
Enumeration date
04/12/2007
Last updated
08/07/2007
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