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1104961713
PHYLLIS ALTADONNA
NEW YORK, NY
NPI
1104961713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009880-1)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Ms. PHYLLIS ALTADONNA RPA-C
5141 BROADWAY
NEW YORK, NY 10034-1159
Phone number: 212-932-5218
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Mailing Address
Ms. PHYLLIS ALTADONNA RPA-C
1055 RIVER RD APT 802
EDGEWATER, NJ 07020-1364
Phone number: 212-932-5218
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