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1952920415
JACK KANOUZI BASCHOUR
STATEN ISLAND, NY
NPI
1952920415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-14
Last Update Date
2023-07-19
Business Address
Dr. JACK KANOUZI BASCHOUR MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
Dr. JACK KANOUZI BASCHOUR MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 631-377-9233
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