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Organization

334 GRAND CONCOURSE MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERROL C MALLETT MD (PRESIDENT)
(718) 841-7392
Entity
Organization

Contact information

Practice address
444 WILLIS AVE, BRONX, NY 10455-4013
(718) 841-7392
(347) 862-2711
Mailing address
444 WILLIS AVE, BRONX, NY 10455-4013
(718) 841-7392
(347) 862-2711

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
06/26/2019
Last updated
07/06/2020
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