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1508018276
JOHN O GAETANI
MINEOLA, NY
NPI
1508018276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 001377)
Enumeration Date
2008-10-14
Last Update Date
2008-10-14
Business Address
Mr. JOHN O GAETANI PA
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8948
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Mailing Address
Mr. JOHN O GAETANI PA
386 SOUTHPORT ST
RONKONKOMA, NY 11779-6265
Phone number: 631-981-6353
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