MAURICE ALAN VANDERHALL

JAMAICA, NY
NPI1831290782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  010466)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
Mr. MAURICE ALAN VANDERHALL PA
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
Mailing Address
Mr. MAURICE ALAN VANDERHALL PA
7901 BROADWAY MANAGED CARE D101
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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