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Organization
SOUTH YONKERS FAMILY MEDICINE
Active
Organization
SOUTH YONKERS FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD FRESNEDA (DELEGATED OFFICIAL)
(914) 237-8282
Entity
Organization
Contact information
Practice address
701 W 177TH ST, SUITE 2, NEW YORK, NY 10033-6928
(212) 928-6580
(212) 543-1620
Mailing address
30 KIMBALL AVE, YONKERS, NY 10704-4221
(914) 237-8282
(914) 237-8575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
190207
NY
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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