RENE MEDIAVILLO

Dr RENE MEDIAVILLO is a male medical professional, specializing in Radiation Oncology. He graduated in 1973.

Contact

9202 LIBERTY AVE
OZONE PARK
NY
114171526

Tel:

RENE MEDIAVILLO Information

Npi 1376622019
Pac Id 6507039997
Professional Enrollment Id I20111031000564
Last Name MEDIAVILLO
First Name RENE
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1973
Primary Specialty RADIATION ONCOLOGY
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Secondary Specialty 2
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Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 9202 LIBERTY AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OZONE PARK
State NY
Zip Code 114171526
Phone Number
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Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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