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1407959430
JUDITH MARIE SUMMERS
WEST ISLIP, NY
NPI
1407959430
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Former Name
JUDITH MARIE ADANIEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 009084-1)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Mrs. JUDITH MARIE SUMMERS RPA-C
510 MONTAUK HIGHWAY SUITE C
WEST ISLIP, NY 11795
Phone number: 631-587-1451
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Mailing Address
Mrs. JUDITH MARIE SUMMERS RPA-C
57 N. OCEANSIDE ROAD
ROCKVILLE CENTRE, NY 11570
Phone number: 516-837-9864
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