LUCILLE R. VAN HOOK SPIVACK MD PC
Medical Practice at Morris Park Ave, Bronx, NY

License number
New York 141418
Category
Medical Practice
Type
Legal Medicine
Owner
Name: LUCILLE R VAN HOOK
Title: SOLE PROPRIETER
Phone: (718) 828-4227
Address
Address
1120 Morris Park Ave, Bronx, NY 10461
National Provider ID: 1487801437
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LUCILLE R. VAN HOOK SPIVACK M.D. PC

Bronx, NY

Industry:
Medical Doctor's Office
Registration:
Jun 17, 1996
Addresses:
3671 Hudson Mnr Ter SUITE 16E, Bronx, NY 10463 (Physical)
1120 Morris Park Ave, Bronx, NY 10461 (Physical)
State ID:
2039619
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principals:
Lucille R Van Hook Spivack Md, 1120 Morris Park Ave, Bronx, NY 10461 (Physical),Lucille R. Van Hook (Principal)

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