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1134625155
ALYSSA BACCARELLA
NEW YORK, NY
NPI
1134625155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
ALYSSA BACCARELLA MD
3959 BROADWAY
NEW YORK, NY 10032-1559
Phone number: 212-305-8504
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Mailing Address
ALYSSA BACCARELLA MD
3959 BROADWAY
NEW YORK, NY 10032-1559
Phone number: 631-882-5981
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