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1114997939
JOHN A PROCACCINO
GREAT NECK, NY
NPI
1114997939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NY 171315)
Enumeration Date
2006-01-24
Last Update Date
2013-09-23
Business Address
Dr. JOHN A PROCACCINO MD
900 NORTHERN BLVD
GREAT NECK, NY 11021-5302
Phone number: 516-730-2100
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Mailing Address
Dr. JOHN A PROCACCINO MD
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-876-5555
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