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Individual

ARIANE AUBOURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(917) 371-3894
Mailing address
17 MALDEN AVE, LYNBROOK, NY 11563-3715
(917) 371-3894

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006288
NY

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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