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Organization
SOTA MEDICAL SERVICES PC
Active
Organization
SOTA MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE MALCOLM (SOLE PROPRIETER)
(917) 548-7265
Entity
Organization
Contact information
Practice address
1416 BEVERLEY RD, BROOKLYN, NY 11226-4514
(718) 469-3377
Mailing address
1416 BEVERLEY RD, BROOKLYN, NY 11226-4514
(718) 469-3377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205859
NY
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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