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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth Advanced Sports Medicine & Rehabilitation P.C. 171302 05/14/2002 05/16/2002 Clarkstown Pain Management & Rehabilitation P.C. 171302 05/14/2002 05/16/2002 Kips Bay Medical Imaging P.C. 171302 05/14/2002 05/16/2002 All Family Multi-Medical Care P.C. 171302 05/14/2002 05/16/2002 Alliance Medical P.C. 171302 05/14/2002 05/16/2002 Northeast Medical Associates P.C. 171302 05/14/2002 05/16/2002 Alliance Health Care and Rehabilitative Medicine P.C. 171302 05/14/2002 05/16/2002 Madison Avenue Medical Rehabilitation P.C. 171302 05/14/2002 05/16/2002 Montague Rehab & Pain Management P.C. 171302 05/14/2002 05/16/2002 Empire Pain Treatment, Physical Medicine & Rehabilitation P.C. 171302 05/14/2002 05/16/2002 American Medical Wellness Rehab & Diagnostic Care P.C. 171302 05/14/2002 05/16/2002 Ocean Pain Management & Rehabilitation P.C. 171302 05/14/2002 05/16/2002 Brooklyn Pain Management & Rehabilitation P.C. 171302 05/14/2002 05/16/2002 Ralph Avenue Pain Management & Rehabilitation P.C. 171302 05/14/2002 05/16/2002 St.Joseph's Cardiac Surgery Associates P.C. 141551 02/28/2002 02/28/2002 Central Health Medical Office P.C. 199255 01/17/2002 01/22/2002 Central Medical Practice P.C. 199255 01/17/2002 01/22/2002 Fifty-eighth Street Medical P.C. 199255 01/17/2002 01/22/2002 Bellmore Physical Medicine and Rehabilitation P.C. 199255 01/17/2002 01/22/2002 Venez Medical Services P.C. 199255 01/17/2002 01/22/2002 [First/Prev] 5,6,7,8,9,10,11,12 [Next/Last]

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