ANGELICA GAVRILOVA

JAMAICA, NY
NPI1245574409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  016239)
Enumeration Date2012-11-12
Last Update Date2012-11-12
Business Address
-- ANGELICA GAVRILOVA RPA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
Mailing Address
-- ANGELICA GAVRILOVA RPA-C
8357 118TH ST APT 5K
KEW GARDENS, NY 11415-2323
Phone number: