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1154039477
FADWA MINI
BROOKLYN, NY
NPI
1154039477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2022-11-07
Last Update Date
2024-07-30
Business Address
FADWA MINI
450 CLARKSON AVE # 67
BROOKLYN, NY 11203-2012
Phone number: 718-270-1000
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Mailing Address
FADWA MINI
263 FARMINGTON AVE
FARMINGTON, CT 06030-1921
Phone number: 860-679-2147
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