LIDIYA SHESTOPEROVA

STATEN ISLAND, NY
NPI1255575312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  013225)
Enumeration Date2009-04-20
Last Update Date2009-04-20
Business Address
Mrs. LIDIYA SHESTOPEROVA P.A.
71 CEDARVIEW AVE
STATEN ISLAND, NY 10306-2048
Phone number: 347-251-2099
Mailing Address
Mrs. LIDIYA SHESTOPEROVA P.A.
71 CEDARVIEW AVE
STATEN ISLAND, NY 10306-2048
Phone number: 347-251-2099
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