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1538793690
MARK BOCCIA
NEW HYDE PARK, NY
NPI
1538793690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 026132)
Enumeration Date
2020-02-27
Last Update Date
2022-03-24
Business Address
MARK BOCCIA
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-5370
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Mailing Address
MARK BOCCIA
15612 28TH AVE
FLUSHING, NY 11354-1506
Phone number: 917-882-6124
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