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1467969501
MARIO LONGO
NEW YORK, NY
NPI
1467969501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: NY 16-782)
Enumeration Date
2018-01-10
Last Update Date
2018-01-10
Business Address
MARIO LONGO
736 W 181ST ST APT 1I
NEW YORK, NY 10033-4724
Phone number: 347-681-1800
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Mailing Address
MARIO LONGO
566 E 188TH ST APT 2
BRONX, NY 10458-5916
Phone number: 347-681-1800
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