Dylan O'rourke R-PAC

NPI 1083606784 - Physician Assistant - 363A00000X

NPI Details
NPI 1083606784
Gender Male
Enumeration Date 08/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
900 NORTHERN BLVD
SUITE 140
GREAT NECK NY, 11021-5302, US
Phone (516) 482-0302
Fax (516) 482-0158
Business Location
900 NORTHERN BLVD
SUITE 140
GREAT NECK NY, 11021-5302, US
Phone (516) 482-0302
Fax (516) 482-0158
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 008867
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According to our database, Dylan O'rourke R-PAC NPI is 1083606784, taxonomy code is 363A00000X and license number is 008867, license state is located at New York. Dylan O'rourke R-PAC physically located at 900 Northern Blvd, Great Neck NY, 11021-5302. NPI Number Dylan O'rourke R-PAC has the Individual type.

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1083606784 NPI number is provided on an as is basis without warranty of any kind. 1083606784 is maintained by the National Plan & Provider Enumeration System. The contents of Dylan O'rourke R-PAC are for informational purposes only.