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1154606648
CHRISTINA DANGERVIL
MINEOLA, NY
NPI
1154606648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 014919)
Enumeration Date
2011-10-15
Last Update Date
2022-10-24
Business Address
CHRISTINA DANGERVIL PA, RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
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Mailing Address
CHRISTINA DANGERVIL PA, RPAC
253-18 148 ROAD
ROSEDALE, NY 11422
Phone number: 646-510-2388
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