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1912005612
ELBERT MICHAEL DAVID
JAMAICA, NY
NPI
1912005612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 008694)
Enumeration Date
2006-09-20
Last Update Date
2021-02-09
Business Address
Mr. ELBERT MICHAEL DAVID PA
82-68 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Mr. ELBERT MICHAEL DAVID PA
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1321
Phone number: 718-334-1921
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