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Individual

DR. JUSTIN SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3544 JEROME AVE, BRONX, NY 10467-1005
(718) 920-5521
Mailing address
60 W 120TH ST, APT 3, NEW YORK, NY 10027-6382
(646) 323-7547

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261436
NY

Other

Enumeration date
05/15/2011
Last updated
05/15/2011
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