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Individual

DR. JORGE SASTRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6317 4TH AVE, PARK RIDGE FAMILY HEALTH CENTER, BROOKLYN, NY 11220-4922
(718) 907-8100
(718) 492-8614
Mailing address
6317 4TH AVE, BROOKLYN, NY 11220-4922
(718) 907-8100
(718) 492-8614

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218132
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02103900
NY
Enumeration date
09/16/2006
Last updated
10/08/2021
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