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1497889265
RICARDO CERQUEIRA
BRONX, NY
NPI
1497889265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NY 000078)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
RICARDO CERQUEIRA SA
2432 GRAND CONCOURSE
BRONX, NY 10458-5204
Phone number: 718-817-7951
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Mailing Address
RICARDO CERQUEIRA SA
96 CHARLES ST
MINEOLA, NY 11501-2018
Phone number: 516-739-1040
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