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Organization

SEGUNDO RUIZ BELVIS, DIAGNOSTIC & TREATMENT CENTER

Active
Other names
Segundo Ruiz Belvis, FNCC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DOROTHY DONALDSON (SENIOR ASSOCIATE EXECUTIVE DIRECTOR)
(718) 579-1774
Entity
Organization

Contact information

Practice address
545 E 142ND ST, BRONX, NY 10454-2110
(718) 579-1774
Mailing address
545 E 142ND ST, BRONX, NY 10454-2110

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
043822
NY

Other

Enumeration date
01/12/2007
Last updated
08/22/2020
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