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1255529350
CHAYA D WALD
BROOKLYN, NY
NPI
1255529350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012036)
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
CHAYA D WALD PA
4819 14TH AVE
BROOKLYN, NY 11219-3119
Phone number: 718-438-0707
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Mailing Address
CHAYA D WALD PA
1965 52ND ST
BROOKLYN, NY 11204-1732
Phone number: 917-754-7754
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