Individual
DR. AVI Y FACTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 TENNYSON PL, PASSAIC, NJ 07055-4513
(973) 815-0404
Mailing address
17 TENNYSON PL, PASSAIC, NJ 07055-4513
(973) 815-0404
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
256238
NY
Other
Enumeration date
01/27/2010
Last updated
06/23/2015
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