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Organization
NORTHERN GENERAL MEDICAL PRACTICE, P.C.
Active
Organization
NORTHERN GENERAL MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA J REYES MD (PHYSICIAN)
(917) 716-1088
Entity
Organization
Contact information
Practice address
10520 NORTHERN BLVD, CORONA, NY 11368-1133
(347) 848-0357
(347) 848-0571
Mailing address
185 BRIGGS AVE, YONKERS, NY 10701-5640
(917) 837-4210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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