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1679620629
MICHAEL STAUDER
ROSLYN, NY
NPI
1679620629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006761)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
MICHAEL STAUDER PA
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-338-5358
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Mailing Address
MICHAEL STAUDER PA
1400 OLD COUNTRY RD
WESTBURY, NY 11590-5156
Phone number: 516-338-5300
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