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1700191095
STEPHEN J MONDICS
ROSLYN, NY
NPI
1700191095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 000721-1)
Enumeration Date
2010-08-11
Last Update Date
2010-08-11
Business Address
MR. STEPHEN J MONDICS PA
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1347
Phone number: 516-562-6000
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Mailing Address
MR. STEPHEN J MONDICS PA
519 123RD ST
COLLEGE POINT, NY 11356-1143
Phone number: 917-545-0385
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