DAVID CONWAY

PORT JEFFERSON STATION, NY
NPI1164850004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017130-1)
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
-- DAVID CONWAY
10 MEDICAL DR SUITE B
PORT JEFFERSON STATION, NY 11776-1590
Phone number: 631-474-1111
Mailing Address
-- DAVID CONWAY
10 MEDICAL DR SUITE B
PORT JEFFERSON STATION, NY 11776-1590
Phone number: 631-474-1111
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