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1750572152
BRIAN DAVID BAXLEY
BROOKLYN, NY
NPI
1750572152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 009697-1)
Enumeration Date
2007-08-09
Last Update Date
2007-08-18
Business Address
Mr. BRIAN DAVID BAXLEY P.A.
450 CLARKSON AVE # 50
BROOKLYN, NY 11203-2056
Phone number: 718-951-7548
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Mailing Address
Mr. BRIAN DAVID BAXLEY P.A.
6 ILSA CT
EAST NORTHPORT, NY 11731-4621
Phone number: 718-951-7548
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