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Organization
VAIL HEALTHCARE MEDICAL PLLC
Active
Organization
VAIL HEALTHCARE MEDICAL PLLC
Active
Other names
Multi Medic Physicians Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A DELEON MD (PRESIDENT)
(718) 589-4541
Entity
Organization
Contact information
Practice address
1070 SOUTHERN BLVD, BRONX, NY 10459-3268
(718) 589-4541
(718) 893-8511
Mailing address
1070 SOUTHERN BLVD, BRONX, NY 10459-3268
(718) 589-4541
(718) 893-8511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
186141
NY
Other
Enumeration date
11/21/2014
Last updated
04/22/2015
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