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1396890646
JEFFREY DECEGLIA
BROOKLYN, NY
NPI
1396890646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003506)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- JEFFREY DECEGLIA PA
339 HICKS ST
BROOKLYN, NY 11201-5509
Phone number: 718-780-1961
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Mailing Address
-- JEFFREY DECEGLIA PA
407 AIRPORT EXE PARK
NANUET, NY 10954
Phone number:
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