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Organization

1957 BRONX MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ILYA SMUGLIN MD (DIRECTOR)
(917) 842-2854
Entity
Organization

Contact information

Practice address
9924 64TH AVE, REGO PARK, NY 11374-2645
(917) 842-2854
Mailing address
9924 64TH AVE, REGO PARK, NY 11374-2645

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
221943
NY

Other

Enumeration date
06/19/2012
Last updated
06/19/2012
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