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1720302466
JOSE MEDINA
BROOKLYN, NY
NPI
1720302466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 6801300)
Enumeration Date
2010-03-24
Last Update Date
2010-03-24
Business Address
Mr. JOSE MEDINA PA
81 WILLOUGHBY ST 4TH FLOOR
BROOKLYN, NY 11201-5291
Phone number: 718-522-3399
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Mailing Address
Mr. JOSE MEDINA PA
81 WILLOUGHBY ST 4TH FLOOR
BROOKLYN, NY 11201-5291
Phone number: 718-522-3399
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