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1205305224
MARISA HALSTEAD
ROCHESTER, NY
NPI
1205305224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 022886)
Enumeration Date
2018-11-20
Last Update Date
2023-12-18
Business Address
MARISA HALSTEAD PA
30 N UNION ST STE 105
ROCHESTER, NY 14607-1345
Phone number: 585-232-8940
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Mailing Address
MARISA HALSTEAD PA
30 N UNION ST STE 10
ROCHESTER, NY 14607-1345
Phone number: 585-232-8940
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