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Individual

DR. BERNICE MICHELLE VICIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
305 E 161ST ST, BRONX, NY 10451-3535
(718) 579-2500
(718) 293-1256
Mailing address
PO BOX 339, BRONX, NY 10460-0243

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
249998
NY

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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