Individual
MR. AMOS HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1206
Mailing address
113 6TH AVE, BROOKLYN, NY 11217-2810
(207) 650-4860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011536
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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