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Organization
PARK SOUTH MEDICAL PLLC
Active
Organization
PARK SOUTH MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE EZRATTY M.D. (OWNER)
(718) 892-2201
Entity
Organization
Contact information
Practice address
1545 UNIONPORT RD, PARK SOUTH MEDICAL, BRONX, NY 10462-7714
(718) 892-2201
(718) 828-9663
Mailing address
1545 UNIONPORT RD, PARK SOUTH MEDICAL, BRONX, NY 10462-7714
(718) 892-2201
(718) 828-9663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
146894
NY
Other
Enumeration date
06/12/2007
Last updated
01/03/2008
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