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1386042117
MARK HANEBURY
NEW YORK, NY
NPI
1386042117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018280)
Enumeration Date
2014-12-10
Last Update Date
2022-08-18
Business Address
Mr. MARK HANEBURY PA-C
333 E 38TH ST
NEW YORK, NY 10016-2772
Phone number: 646-501-7223
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Mailing Address
Mr. MARK HANEBURY PA-C
11 EDEN LN
LEVITTOWN, NY 11756-5515
Phone number:
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