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1104182591
TAMARA KAREN DIAZ
NEW HYDE PARK, NY
NPI
1104182591
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Former Name
TAMARA KAREN JANSZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015510)
Enumeration Date
2012-04-10
Last Update Date
2020-04-17
Business Address
Mrs. TAMARA KAREN DIAZ PA
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Phone number: 718-470-7330
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Mailing Address
Mrs. TAMARA KAREN DIAZ PA
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Phone number: 718-470-7330
Copy
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