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1972722528
ANTHONY MANDESE
BRONX, NY
NPI
1972722528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001307)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- ANTHONY MANDESE PA
423 E 138TH ST
BRONX, NY 10454-3004
Phone number: 718-292-0100
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Mailing Address
-- ANTHONY MANDESE PA
6 HUMBOLDT ST
WOOD RIDGE, NJ 07075-2308
Phone number:
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