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1083214332
JUSTIN MICHAEL EISENHAUER
JOHNSON CITY, NY
NPI
1083214332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 025837)
Enumeration Date
2020-10-27
Last Update Date
2020-10-31
Business Address
Mr. JUSTIN MICHAEL EISENHAUER PA-C
33-57 HARRISON ST
JOHNSON CITY, NY 13790-2107
Phone number: 607-763-6412
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Mailing Address
Mr. JUSTIN MICHAEL EISENHAUER PA-C
33 LEWIS RD STE 2
BINGHAMTON, NY 13905-1040
Phone number: 607-770-0025
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