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1215078183
ELSIE SAM-ERVILUS
NEW YORK, NY
NPI
1215078183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 363A00000X003653)
Enumeration Date
2007-02-12
Last Update Date
2020-04-07
Business Address
ELSIE SAM-ERVILUS PA
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-7576
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Mailing Address
ELSIE SAM-ERVILUS PA
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-9375
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