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Organization
WOMENS OB GYN CARE AT THE PAVILION PC
Active
Organization
WOMENS OB GYN CARE AT THE PAVILION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAFONTANT (PRESIDENT)
(201) 446-6401
Entity
Organization
Contact information
Practice address
3250 WESTCHESTER AVE, SUITE 111-112, BRONX, NY 10461-4500
(718) 231-7900
Mailing address
3250 WESTCHESTER AVE, SUITE 111-112, BRONX, NY 10461-4500
(718) 231-7900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
145497
NY
Other
Enumeration date
05/12/2006
Last updated
12/12/2012
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