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1194984914
SCOTT MICHAEL STICKLES
ELMHURST, NY
NPI
1194984914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 248461-1)
Enumeration Date
2008-06-06
Last Update Date
2012-08-06
Business Address
Dr. SCOTT MICHAEL STICKLES D.O.
8940 56TH AVE
ELMHURST, NY 11373-4933
Phone number: 718-335-5532
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Mailing Address
Dr. SCOTT MICHAEL STICKLES D.O.
PO BOX 6257
ASTORIA, NY 11106-0257
Phone number: 718-204-4995
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