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Individual

MICHAEL DAVID HOSSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 BAINBRIDGE AVENUE, 6TH FLOOR, BRONX, NY 10467
(718) 920-2060
Mailing address
3400 BAINBRIDGE AVENUE, 6TH FLOOR, BRONX, NY 10467
(718) 920-2060

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
241794
NY

Other

Enumeration date
02/09/2007
Last updated
07/08/2007
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