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1013257864
ALFONSO MANUEL AZUCAR
VALLEY STREAM, NY
NPI
1013257864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016408)
Enumeration Date
2013-02-14
Last Update Date
2019-09-03
Business Address
Mr. ALFONSO MANUEL AZUCAR physician assistant
260 W. SUNRISE HWY, STE. 200
VALLEY STREAM, NY 11581
Phone number: 516-825-3600
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Mailing Address
Mr. ALFONSO MANUEL AZUCAR physician assistant
55 WATER STREET 2ND FLOOR CRED DEPT
NEW YORK, NY 10041-0004
Phone number: 646-680-2888
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