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1275926578
EMMANUEL MICHAEL ILLICAL
BROOKLYN, NY
NPI
1275926578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 278062-1)
Enumeration Date
2015-03-10
Last Update Date
2016-04-08
Business Address
Dr. EMMANUEL MICHAEL ILLICAL MD, FRCSC
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 718-270-8995
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Mailing Address
Dr. EMMANUEL MICHAEL ILLICAL MD, FRCSC
450 CLARKSON AVE BOX 30
BROOKLYN, NY 11203-2012
Phone number: 718-270-3200
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