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1174725857
MARINA TRAVALJA
GREAT NECK, NY
NPI
1174725857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 010853-1)
Enumeration Date
2007-06-04
Last Update Date
2021-04-22
Business Address
MARINA TRAVALJA PA
900 NORTHERN BLVD SUITE 140
GREAT NECK, NY 11021-5302
Phone number: 516-466-6760
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Mailing Address
MARINA TRAVALJA PA
27111 76TH AVE
NEW HYDE PARK, NY 11040-1436
Phone number: 516-466-6760
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