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Individual

MR. ARIEL SIONOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7966
Mailing address
6522 AVENUE M, BROOKLYN, NY 11234-5600
(917) 474-6028

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013002
NY
363AS0400X
Surgical Physician Assistant
Primary
013002-1
NY

Other

Enumeration date
01/26/2009
Last updated
10/08/2024
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