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1306965702
RUSSELL JAVIER
BROOKLYN, NY
NPI
1306965702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 007188-1)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL JAVIER PA-C
4802 10TH AVENUE DEPARTMENT OF ORTHOPAEDICS
BROOKLYN, NY 11219-2923
Phone number: 718-283-7400
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Mailing Address
Mr. RUSSELL JAVIER PA-C
138 OGORMAN AVE
STATEN ISLAND, NY 10306-3737
Phone number: 718-987-9445
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