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Organization
EXECUTIVE PARK PT OF BRIARCLIFF LLC
Active
Organization
EXECUTIVE PARK PT OF BRIARCLIFF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISA NIELI (BILLING MANAGER)
(914) 346-5175
Entity
Organization
Contact information
Practice address
565 N STATE RD, BRIARCLIFF, NY 10510-1523
(914) 263-3280
Mailing address
1034 N BROADWAY, YONKERS, NY 10701-1328
(914) 509-4640
(914) 509-4639
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
023806
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
023806
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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