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Organization
MIGRACE MEDICAL PRACTICE PC
Active
Organization
MIGRACE MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL AVILA-RONDON MD (OWNER)
(212) 862-9046
Entity
Organization
Contact information
Practice address
982 COLUMBUS AVE, NEW YORK, NY 10025-2501
(212) 862-9046
Mailing address
PO BOX 1828, NEW YORK, NY 10027-8801
(212) 862-9046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193694
NY
Other
Enumeration date
05/26/2006
Last updated
09/09/2021
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