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1144512559
MICHAEL VINCENT EISENBRAUN
STATEN ISLAND, NY
NPI
1144512559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 23009070)
Enumeration Date
2011-05-04
Last Update Date
2011-05-04
Business Address
Mr. MICHAEL VINCENT EISENBRAUN PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9508
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Mailing Address
Mr. MICHAEL VINCENT EISENBRAUN PA-C
142 HAWTHORNE AVE
STATEN ISLAND, NY 10314-1815
Phone number: 718-761-0294
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