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Organization
ADVANCE PRIMARY SPECIALTY CARE
Active
Organization
ADVANCE PRIMARY SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE CHIARAMONTE M.D. (MEDICAL DIRECTOR)
(718) 299-1091
Entity
Organization
Contact information
Practice address
1957 SOUTHERN BLVD, 2ND FL, BRONX, NY 10460-1419
(718) 299-1091
(718) 299-1230
Mailing address
1957 SOUTHERN BLVD, 2ND FL, BRONX, NY 10460-1419
(718) 299-1091
(718) 299-1230
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/21/2010
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