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1114009115
DAMIEN ANTHONY DECOLLIBUS
NEW YORK, NY
NPI
1114009115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 010067)
Enumeration Date
2006-10-19
Last Update Date
2008-09-10
Business Address
Mr. DAMIEN ANTHONY DECOLLIBUS PA
100 E 77TH ST DIVISION OF VASCULAR SURGERY
NEW YORK, NY 10075-1850
Phone number: 212-434-4264
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Mailing Address
Mr. DAMIEN ANTHONY DECOLLIBUS PA
100 E 77TH ST DIVISION OF VASCULAR SURGERY
NEW YORK, NY 10075-1850
Phone number: 212-434-4264
Copy
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