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1407954985
ALYSE R WAYNE
NEW YORK, NY
NPI
1407954985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 007301-1)
Enumeration Date
2006-09-20
Last Update Date
2007-09-21
Business Address
Mrs. ALYSE R WAYNE PA
19 BEEKMAN ST
NEW YORK, NY 10038-1522
Phone number: 212-513-7711
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Mailing Address
Mrs. ALYSE R WAYNE PA
19 BEEKMAN ST
NEW YORK, NY 10038-1522
Phone number: 212-513-7711
Copy
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