Provider Information for 1467959460
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ALEXANDRE DA SILVA
Sex: Male
NPI: 1467959460
Last Updated: 2018-04-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1467959460 | ||||||||
| Enumeration Date | 2018-04-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 414 37TH ST BROOKLYN, NY 11232-2510 United States Phone: 646-425-1162 | Fax: | ||||||||
| Primary Practice Address | 414 37TH ST BROOKLYN, NY 11232-2510 United States Phone: 646-425-1162 | Fax: | ||||||||
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