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1043512585
MYCHAL SHIRA GRODSTEIN
NEW YORK, NY
NPI
1043512585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014435-01)
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
Mrs. MYCHAL SHIRA GRODSTEIN RPA-C
525 E 68TH ST M130
NEW YORK, NY 10065-4870
Phone number: 212-746-0780
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Mailing Address
Mrs. MYCHAL SHIRA GRODSTEIN RPA-C
344 3RD AVE APT 2G
NEW YORK, NY 10010-2324
Phone number: 401-683-8036
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