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1003462193
REBECCA KELLY VICENTE
MANHASSET, NY
NPI
1003462193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024058)
Enumeration Date
2019-08-14
Last Update Date
2020-06-09
Business Address
REBECCA KELLY VICENTE PA-C
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
REBECCA KELLY VICENTE PA-C
9 BIRCHWOOD RD
OLD TAPPAN, NJ 07675-7102
Phone number: 201-281-8708
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