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1104906676
SOFIYA GROTTANO
BRONX, NY
NPI
1104906676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 008232)
Enumeration Date
2006-10-17
Last Update Date
2011-10-31
Business Address
-- SOFIYA GROTTANO PA
MMC - DEPT. OF OBGYN 1825 EASTCHESTER ROAD
BRONX, NY 10461
Phone number: 718-904-2767
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Mailing Address
-- SOFIYA GROTTANO PA
3511 WEIDNER AVE
OCEANSIDE, NY 11572-3535
Phone number: 718-904-2767
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