MATTHEW KLICS

PORT JEFFERSON, NY
NPI1972057529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  0200111)
Enumeration Date2016-08-12
Last Update Date2016-10-19
Business Address
-- MATTHEW KLICS PA-C
635 BELLE TERRE RD SUITE 204
PORT JEFFERSON, NY 11777-1935
Phone number: 631-474-0008
Mailing Address
-- MATTHEW KLICS PA-C
635 BELLE TERRE RD SUITE 204
PORT JEFFERSON, NY 11777-1935
Phone number:
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