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1053713164
PRANVERA DERVISHI
BRONX, NY
NPI
1053713164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 018011)
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
-- PRANVERA DERVISHI PA
1334 ASTOR AVE PVH 2ND FLOOR
BRONX, NY 10469-5832
Phone number: 646-703-2048
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Mailing Address
-- PRANVERA DERVISHI PA
1334 ASTOR AVE PVH 2ND FLOOR
BRONX, NY 10469-5832
Phone number: 646-703-2048
Copy
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