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Organization
RYE FAMILY PRACTICE PC
Active
Organization
RYE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SAMANIEGO (OWNER)
(718) 930-7030
Entity
Organization
Contact information
Practice address
692 W 204TH ST, NEW YORK, NY 10034-3027
(646) 329-6490
Mailing address
692 W 204TH ST, NEW YORK, NY 10034-3027
(646) 329-6490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
06/04/2020
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