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1215096714
JOHN SAMUEL
BRONX, NY
NPI
1215096714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 009777)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mr. JOHN SAMUEL PA
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5900
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Mailing Address
Mr. JOHN SAMUEL PA
230 KIMBALL TER
YONKERS, NY 10704-3058
Phone number: 914-376-7827
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