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1033305107
MADALINA ANCA VLASE
STONY BROOK, NY
NPI
1033305107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007828)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
-- MADALINA ANCA VLASE PA
1 PELLEGRINO DRIVE
STONY BROOK, NY 11794-9440
Phone number: 631-444-6412
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Mailing Address
-- MADALINA ANCA VLASE PA
197 MORICHES RD
SAINT JAMES, NY 11780-2169
Phone number: 631-584-2089
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