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1366527236
KERWAYNE H PROBHERBS
ELMONT, NY
NPI
1366527236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 183821)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- KERWAYNE H PROBHERBS M.D.
2015 LINDEN BLVD
ELMONT, NY 11003-4000
Phone number: 516-285-5310
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Mailing Address
-- KERWAYNE H PROBHERBS M.D.
17766 MEADOW DR
JAMAICA, NY 11434-4944
Phone number: 718-341-2791
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