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1104809409
ERICA TINE-ROSE FEOLA
WATERTOWN, NY
NPI
1104809409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009893-1)
Enumeration Date
2005-11-22
Last Update Date
2015-10-20
Business Address
Ms. ERICA TINE-ROSE FEOLA P.A.
830 WASHINGTON ST ER DEPARTMENT
WATERTOWN, NY 13601-4034
Phone number: 315-786-4813
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Mailing Address
Ms. ERICA TINE-ROSE FEOLA P.A.
PO BOX 415695
BOSTON, MA 02241-5695
Phone number: 866-952-6774
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