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Organization
ELECTRODIAGNOSTIC AND PHYSICAL MEDICINE P.C.
Active
Organization
ELECTRODIAGNOSTIC AND PHYSICAL MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA B DANIELLO (ADMINISTRATIVE ASSISTANT)
(646) 281-3016
Entity
Organization
Contact information
Practice address
5822 BROADWAY, BRONX, NY 10463-2454
(718) 549-3185
(718) 884-5002
Mailing address
5822 BROADWAY, BRONX, NY 10463-2454
(718) 549-3185
(718) 884-5002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/21/2024
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