SANTA UPENIECE

STATEN ISLAND, NY
NPI1114251949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  013581)
Enumeration Date2009-09-26
Last Update Date2015-10-08
Business Address
-- SANTA UPENIECE PA
1414 VICTORY BLVD
STATEN ISLAND, NY 10301-3908
Phone number: 718-447-1261
Mailing Address
-- SANTA UPENIECE PA
1414 VICTORY BLVD
STATEN ISLAND, NY 10301-3908
Phone number: 718-447-1261
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