AINIE SOETANTO, M.D.
Student, Health Care at 210 St, Bronx, NY

License number
New York 26938410
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address
111 E 210Th St, Bronx, NY 10467
Phone
(718) 920-2625
National Provider ID: 1942640644
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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