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1770068066
JONATHAN MANH
ROCKVILLE CENTRE, NY
NPI
1770068066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022631)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
JONATHAN MANH PA-C
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570-1000
Phone number: 516-705-2525
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Mailing Address
JONATHAN MANH PA-C
3418 202ND ST
BAYSIDE, NY 11361-1146
Phone number: 516-547-4097
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