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1922625870
HARRISON JOSEPH LAVE
VALLEY STREAM, NY
NPI
1922625870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 025067)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
HARRISON JOSEPH LAVE
133 E MERRICK RD
VALLEY STREAM, NY 11580-5900
Phone number: 516-887-5500
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Mailing Address
HARRISON JOSEPH LAVE
16 BLACKSMITH RD
LEVITTOWN, NY 11756-3106
Phone number: 828-289-2012
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