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1316027964
MICHAEL GARDOCKI
BRONX, NY
NPI
1316027964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004785)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
MICHAEL GARDOCKI PA
MMC - DEPT. OF CT SURGERY 3400 BAINBRIDGE AVENUE
BRONX, NY 10467
Phone number: 718-920-6182
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Mailing Address
MICHAEL GARDOCKI PA
27 ROCKLAND AVE
NANUET, NY 10954-3251
Phone number: 718-920-6182
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