Organization
ACADEMY MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON TALLAJ M.D (PHYSICIAN)
(212) 567-0550
Entity
Organization
Contact information
Practice address
571 ACADEMY ST, GLE, NEW YORK, NY 10034-5104
(212) 567-0550
(212) 567-6474
Mailing address
571 ACADEMY ST, GLE, NEW YORK, NY 10034-5104
(212) 567-0550
(212) 567-6474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204704-1
NY
Other
Enumeration date
03/19/2007
Last updated
05/14/2012
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