DIANA GAVRILOVA

JAMAICA, NY
NPI1104308998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
Ms. DIANA GAVRILOVA PA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3070
Mailing Address
Ms. DIANA GAVRILOVA PA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: