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1003823378
MICHAEL GORE
BROOKLYN, NY
NPI
1003823378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 008532-1)
Enumeration Date
2006-08-01
Last Update Date
2009-05-12
Business Address
Mr. MICHAEL GORE PA
2818 OCEAN AVE SUITE #1
BROOKLYN, NY 11235-3170
Phone number: 718-934-8484
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Mailing Address
Mr. MICHAEL GORE PA
482 TENNYSON DR
STATEN ISLAND, NY 10312-6552
Phone number: 718-360-8607
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