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Organization
WALES CLINIC LLC
Active
Organization
WALES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIA POLANCO (OWNER)
(346) 220-3534
Entity
Organization
Contact information
Practice address
538 WALES AVE, BRONX, NY 10455-4510
(347) 716-3865
(347) 716-3865
Mailing address
538 WALES AVE, BRONX, NY 10455-4510
(347) 716-3865
(347) 716-3865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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