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1215017397
MARCO ANTONIO BERRONES
PLAINVIEW, NY
NPI
1215017397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 008261-1)
Enumeration Date
2006-10-16
Last Update Date
2009-06-25
Business Address
Mr. MARCO ANTONIO BERRONES PA
888 OLD COUNTRY RD
PLAINVIEW, NY 11803-4914
Phone number: 516-719-3000
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Mailing Address
Mr. MARCO ANTONIO BERRONES PA
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-876-5555
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