TRIAN JOHN JACOB

BROOKLYN, NY
NPI1962579441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  006020)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Mr. TRIAN JOHN JACOB PA-C
760 BROADWAY
BROOKLYN, NY 11206-5317
Phone number: 718-963-5951
Mailing Address
Mr. TRIAN JOHN JACOB PA-C
1642 E 23RD ST
BROOKLYN, NY 11229-1519
Phone number: 718-975-1957
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