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1053651596
SIMEON DAVID GODICK
BROOKLYN, NY
NPI
1053651596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016417)
Enumeration Date
2013-02-20
Last Update Date
2013-02-20
Business Address
Mr. SIMEON DAVID GODICK PA-C
5715 16TH AVE
BROOKLYN, NY 11204-1811
Phone number: 718-972-7432
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Mailing Address
Mr. SIMEON DAVID GODICK PA-C
8430 122ND ST
KEW GARDENS, NY 11415-3234
Phone number: 917-328-0975
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