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1285612077
DALE A. DISTANT
BROOKLYN, NY
NPI
1285612077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 190405-1)
Enumeration Date
2006-01-03
Last Update Date
2007-07-08
Business Address
Dr. DALE A. DISTANT M.D.
450 CLARKSON AVE SUITE C
BROOKLYN, NY 11203-2056
Phone number: 718-270-1422
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Mailing Address
Dr. DALE A. DISTANT M.D.
450 CLARKSON AVE BOX 1262
BROOKLYN, NY 11203-2056
Phone number: 718-270-8867
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