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Organization
SANFORD FAMILY MEDICAL PRACTICE PC
Active
Organization
SANFORD FAMILY MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSE PIPIA MD (PHYSICIAN)
(718) 353-8933
Entity
Organization
Contact information
Practice address
15706 SANFORD AVE, FLUSHING, NY 11355-1126
(718) 353-8933
(718) 353-8934
Mailing address
15706 SANFORD AVE, FLUSHING, NY 11355-1126
(718) 353-8933
(718) 353-8934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
199863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01621769
—
NY
Enumeration date
10/08/2010
Last updated
12/23/2011
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