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NONE official legal name M,BASTAWROS,PHYSICIAN,P.C. is located at 314 SEAVIEW AVE, Staten Island, New York. NONE primary taxonomy is Exclusive Provider Organization in the state of New York.

Organization Legal NameM,BASTAWROS,PHYSICIAN,P.C.
Organization Other NameNONE
NPI1720495328
CityStaten Island
StateNew York
Address 1314 SEAVIEW AVE
Postal Code10305
Phone7186683417
Fax7186683420

Related medical specializations

Taxonomy IDGroupingClassificationSpecialization
302F00000X Managed Care OrganizationsExclusive Provider Organization

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