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Organization
RICARDO ISSA PHYSICIAN PC
Active
Organization
RICARDO ISSA PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ISSA MD (OWNER)
(212) 772-1211
Entity
Organization
Contact information
Practice address
157 E 72ND ST, NEW YORK, NY 10021-4331
(212) 772-1211
(212) 249-2421
Mailing address
1141 SHORE PKWY, BROOKLYN, NY 11214-5813
(212) 772-1211
(212) 249-2421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
215565
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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