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Organization
RACEWAY MEDICAL GROUP P.C.
Active
Organization
RACEWAY MEDICAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNTA DIAS (OFFICE MANAGER)
(914) 237-7031
Entity
Organization
Contact information
Practice address
955 YONKERS AVE, SUITE 11, YONKERS, NY 10704-3060
(914) 237-7031
(914) 237-4510
Mailing address
955 YONKERS AVE, SUITE 11, YONKERS, NY 10704-3060
(914) 237-7031
(914) 237-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209347
NY
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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