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1205593167
BENJAMIN BOUBLI
BROOKLYN, NY
NPI
1205593167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 027638)
Enumeration Date
2021-11-25
Last Update Date
2023-01-25
Business Address
BENJAMIN BOUBLI
5902 18TH AVE
BROOKLYN, NY 11204-2201
Phone number: 347-625-7557
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Mailing Address
BENJAMIN BOUBLI
670 HAWTHORNE ST
BROOKLYN, NY 11203-1804
Phone number:
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