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1114408028
REX VILLA
FLUSHING, NY
NPI
1114408028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
REX VILLA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
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Mailing Address
REX VILLA
7741 147TH ST
FLUSHING, NY 11367-3434
Phone number: 917-664-8977
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