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M,BASTAWROS,PHYSICIAN,P.C.

Exclusive Provider Organization

NPI: 1720495328Organization

Specialties, Licenses & Credentials

Exclusive Provider Organization

Code: 302F00000X

126414(NY)

Contact & Hours

Address
314 SEAVIEW AVE
STATEN ISLAND, NY 10305

Quick Facts

NPI
1720495328
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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