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1134405632
JEREMIAH CARROL EDINGTON
RIVERHEAD, NY
NPI
1134405632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015287)
Enumeration Date
2011-10-27
Last Update Date
2021-03-29
Business Address
JEREMIAH CARROL EDINGTON RPA-C
1228 E MAIN ST STE C
RIVERHEAD, NY 11901-2677
Phone number: 631-603-3400
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Mailing Address
JEREMIAH CARROL EDINGTON RPA-C
PO BOX 500
ELLICOTTVILLE, NY 14731-0500
Phone number: 631-475-3900
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