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1609456649
AN PHYSICIAN ASSISTANT PC
SMITHTOWN, NY
NPI
1609456649
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Entity Type
Organization
Authorized Contact
ALEXANDER NIYAZOV
Physician Assistant
631-255-9551
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-04-13
Last Update Date
2021-04-14
Business Address
AN PHYSICIAN ASSISTANT PC
6 COLONY CT
SMITHTOWN, NY 11787-2507
Phone number: 631-255-9551
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Mailing Address
AN PHYSICIAN ASSISTANT PC
6 COLONY CT
SMITHTOWN, NY 11787-2507
Phone number:
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