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Organization

MOUNT VERNON MEDICAL PRACTICE

Active
Other names
Christopher Adubor PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER O ADUBOR MD (PRESIDENT)
(914) 666-1400
Entity
Organization

Contact information

Practice address
153 STEVENS AVE, SUITE 4, MOUNT VERNON, NY 10550-2543
(914) 666-1400
(914) 666-0629
Mailing address
153 STEVENS AVE, SUITE 4, MOUNT VERNON, NY 10550-2543
(914) 666-1400
(914) 666-0629

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
192587
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01605527
NY
Enumeration date
08/27/2010
Last updated
08/27/2010
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