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1982940268
SURAJ MATHIAL
ELMHURST, NY
NPI
1982940268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015991)
Enumeration Date
2012-12-14
Last Update Date
2016-08-05
Business Address
SURAJ MATHIAL P.A
4012 80TH ST
ELMHURST, NY 11373-1234
Phone number: 718-551-0043
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Mailing Address
SURAJ MATHIAL P.A
25427 84TH RD
FLORAL PARK, NY 11001-1042
Phone number: 718-343-6789
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