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Organization
FENAR THEMISTOCLE MD PLLC
Active
Organization
FENAR THEMISTOCLE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FENAR F THEMISTOCLE (MEDICAL DIRECTOR)
(347) 590-0371
Entity
Organization
Contact information
Practice address
1973 UNIVERSITY AVE, BRONX, NY 10453-4404
(347) 730-4606
Mailing address
1973 UNIVERSITY AVE, BRONX, NY 10453-4404
(347) 730-4606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
217744
NY
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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