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1225436173
STANLEY PAK
BRONX, NY
NPI
1225436173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018053)
Enumeration Date
2014-12-09
Last Update Date
2015-05-22
Business Address
-- STANLEY PAK PA
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
-- STANLEY PAK PA
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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