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1295119329
VAN TU
BETHPAGE, NY
NPI
1295119329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018684)
Enumeration Date
2015-07-18
Last Update Date
2015-07-18
Business Address
-- VAN TU PAC
72 ROOSEVELT DR
BETHPAGE, NY 11714
Phone number: 516-661-9293
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Mailing Address
-- VAN TU PAC
72 ROOSEVELT DR
BETHPAGE, NY 11714
Phone number:
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