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1487629242
GARY GERARD MAIDA
STATEN ISLAND, NY
NPI
1487629242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 001167)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
Mr. GARY GERARD MAIDA P.A.
4982 HYLAN BLVD
STATEN ISLAND, NY 10312-6399
Phone number: 718-967-6200
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Mailing Address
Mr. GARY GERARD MAIDA P.A.
414 SAINT GEORGE RD
STATEN ISLAND, NY 10306-1524
Phone number: 718-967-6200
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