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1932483823
BENJAMIN SHEPARD
BRONX, NY
NPI
1932483823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 23 015192)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
BENJAMIN SHEPARD P.A.-C
3424 KOSSUTH AVE
BRONX, NY 10467-2410
Phone number: 718-519-3113
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Mailing Address
BENJAMIN SHEPARD P.A.-C
3424 KOSSUTH AVE
BRONX, NY 10467-2410
Phone number:
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