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1760943054
ISAAC ELIJAH BUFF
FAR ROCKAWAY, NY
NPI
1760943054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
ISAAC ELIJAH BUFF DO
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000
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Mailing Address
ISAAC ELIJAH BUFF DO
70 W BEECH ST
LONG BEACH, NY 11561-3407
Phone number: 516-574-9139
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