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1629532544
ELI DERDIK
FLUSHING, NY
NPI
1629532544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023194)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2019-01-24
Last Update Date
2022-04-02
Business Address
MR. ELI DERDIK PA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
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Mailing Address
MR. ELI DERDIK PA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
Copy
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