GRISELLE VILLAR LEDESMA

CORONA, NY
NPI1255710240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  018582-1)
Enumeration Date2015-05-22
Last Update Date2015-09-29
Business Address
-- GRISELLE VILLAR LEDESMA
10427 CORONA AVE
CORONA, NY 11368-2979
Phone number: 718-592-3458
Mailing Address
-- GRISELLE VILLAR LEDESMA
104-27 CORONA AVE
CORONA, NY 11368
Phone number: 718-592-3458
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