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1801951850
WAYNE PHILLIP BERRY
BRONX, NY
NPI
1801951850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007090)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Mr. WAYNE PHILLIP BERRY PA
1400 PELHAM PKWY S
BRONX, NY 10461-1138
Phone number: 718-918-3060
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Mailing Address
Mr. WAYNE PHILLIP BERRY PA
316 E 9TH ST
NEW YORK, NY 10003-7918
Phone number:
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