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Individual

VINCENT AU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
(718) 881-5074
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
(718) 881-5074

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
NY
208D00000X
General Practice Physician
Primary
296628-1
NY

Other

Enumeration date
03/27/2017
Last updated
06/16/2019
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