NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1164753182
REGISTERED PHYSICIAN ASSISTANT FIRST ASSIST PC
14123 HOOVER AVE
BRIARWOOD
NY
114351109
1174670319
SHAMALOV
GENNADIY
141-23 HOOVER AVE
BRIARWOOD
NY
114352930
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