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1043961840
NICA CHANLIECCO
NEW YORK, NY
NPI
1043961840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 027816)
Enumeration Date
2022-01-12
Last Update Date
2022-03-21
Business Address
NICA CHANLIECCO PA-C
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
NICA CHANLIECCO PA-C
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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