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Organization

HAMILTON MEDICAL PLAZA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEAN YVES DASTAIN MD (OWNER)
(718) 215-8280
Entity
Organization

Contact information

Practice address
820 SAINT ANNS AVE, BRONX, NY 10456-7885
(718) 215-8280
(718) 744-2842
Mailing address
1865 AMSTERDAM AVE, NEW YORK, NY 10031-1716
(718) 215-8280
(718) 744-2842

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
04/27/2017
Last updated
04/27/2017
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