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1215604707
JAYSON CHARLES DE LUCIA
EAST MEADOW, NY
NPI
1215604707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026999)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
JAYSON CHARLES DE LUCIA PA-C
2310 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-2035
Phone number: 516-346-5090
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Mailing Address
JAYSON CHARLES DE LUCIA PA-C
2310 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-2035
Phone number: 516-346-5090
Copy
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