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1215020458
MAGALIE FONVIL
BRONX, NY
NPI
1215020458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009877)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
MAGALIE FONVIL PA
MMC - DEPT. OF RADIOLOGY 111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-8853
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Mailing Address
MAGALIE FONVIL PA
18 PROSPECT ST
SPRING VALLEY, NY 10977-7307
Phone number: 718-920-8853
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