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1245706472
MICHAEL RYAN MALZ
BRONX, NY
NPI
1245706472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022818)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
MICHAEL RYAN MALZ
111 E 210TH ST
BRONX, NY 10467-2490
Phone number: 718-920-4321
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Mailing Address
MICHAEL RYAN MALZ
6 WEST RD
CLINTON, CT 06413-1245
Phone number: 860-748-2802
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