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Organization
RAUL ULLOA MEDICAL PC
Active
Organization
RAUL ULLOA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HILARIO (ADMINISTRATOR)
(917) 773-2505
Entity
Organization
Contact information
Practice address
6914 41ST AVE # C2, WOODSIDE, NY 11377-4028
(917) 773-2505
Mailing address
2230 TENBROECK AVE, BRONX, NY 10469-5414
(917) 773-2505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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