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Organization

BRONXLEBAON HOSPITAL

Active
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Organization

BRONXLEBAON HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIO LUIS VASQUEZ MD (MD)
(718) 901-8294
Entity
Organization

Contact information

Practice address
1770 GRAND CONCOURSE, DEP 5L1, BRONX, NY 10457-5524
(718) 901-8294
Mailing address
1770 GRAND CONCOURSE, DEP 5L1, BRONX, NY 10457-5524

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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