Paul Andrei Jicman
Paul Andrei Jicman is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
5645 Main StFlushing, NY 11355-5045
Phone: (718) 670-2151
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1477256980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 23, 2023 |
| Certification date | March 23, 2023 |
| Mailing address | 20914 82nd Ave, Queens Village, NY 11427-1020 |
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