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1174545990
ANTOINETTE LOCCISANO
FLUSHING, NY
NPI
1174545990
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Former Name
ANTOINETTE LOCCISANO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005102)
Enumeration Date
2006-07-24
Last Update Date
2017-04-10
Business Address
-- ANTOINETTE LOCCISANO PA
56-45 MAIN STREET NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Phone number: 718-670-1231
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Mailing Address
-- ANTOINETTE LOCCISANO PA
PO BOX 430 C/O EMERGENCY PRACTICE PLAN
FLUSHING, NY 11352
Phone number: 610-668-6491
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