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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth Park Thomas June 110535 MD 08/21/1995 Park Avenue Comprehensive Medical Practice P.C. 146381 08/28/2002 08/29/2002 Parker Dean Clifford 170242 MD 12/28/1994 Parkinson Dan 192297 MD 11/05/1997 Parrish Louis 075354 MD 07/29/1996 Pascual Prode 130850 MD 08/01/1996 Passidomo Michael 118872 MD 03/12/1997 Patchogue Medical & Diagnostic Office P.C. 146381 08/28/2002 08/29/2002 Patchogue Medical & Diagnostic Practice P.C. 146381 09/12/2002 09/12/2002 Patel Anantesh 136908 MD 11/16/1994 Patel Aneel N 118569 MD 11/20/1995 Patel Bhupendra 156519 MD 08/18/1994 Patel Jijibhoy 108512 MD 01/14/1997 Patel Narendra M 173494 MD 10/07/1997 Patel Pratima 117755 MD 11/13/1992 Pathak Rameshwar 153924 MD 11/20/1995 10/06/2011 Pathak Rameshwar 153924 MD 10/01/1996 10/06/2011 Patton Garry 136992 MD 04/29/1996 Pearlman Richard 104255 MD 01/03/1995 Peck Sidney J 045871 MD 10/03/1995 [First/Prev] 1,2,3,4,5,6,7,8 [Next/Last]

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