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1104491489
JUSTIN RYAN CHERNICK
MINEOLA, NY
NPI
1104491489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026801)
Enumeration Date
2021-05-20
Last Update Date
2022-08-08
Business Address
JUSTIN RYAN CHERNICK
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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Mailing Address
JUSTIN RYAN CHERNICK
24 CORNELIA LN
LAKE GROVE, NY 11755-2527
Phone number: 631-487-9915
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