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1003180803
KENNETH BOMPAROLA
NEW YORK, NY
NPI
1003180803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015373)
Enumeration Date
2012-02-27
Last Update Date
2014-03-05
Business Address
-- KENNETH BOMPAROLA PA
1901 1ST AVE
NEW YORK, NY 10029-7404
Phone number: 212-423-6262
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Mailing Address
-- KENNETH BOMPAROLA PA
316 CARNATION RD
WEST ISLIP, NY 11795-2802
Phone number:
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