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Organization
VSVL MEDICAL SERVICES LLC
Active
Organization
VSVL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASHANTH MANNAM MD (OWNER)
(718) 589-2799
Entity
Organization
Contact information
Practice address
616 CASTLE HILL AVE, BRONX, NY 10473-1402
(718) 589-2799
Mailing address
616 CASTLE HILL AVE, BRONX, NY 10473-1402
(718) 589-2799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233520
NY
Other
Enumeration date
12/12/2008
Last updated
06/25/2012
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