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1497199202
MOISES ACEVEDO
CORONA, NY
NPI
1497199202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 016505)
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
Mr. MOISES ACEVEDO P.A.
4039 JUNCTION BLVD
CORONA, NY 11368-2121
Phone number: 718-397-8866
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Mailing Address
Mr. MOISES ACEVEDO P.A.
4039 JUNCTION BLVD
CORONA, NY 11368-2121
Phone number: 718-397-8866
Copy
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