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1265900344
MARIAM ISMAIL
FAR ROCKAWAY, NY
NPI
1265900344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022952)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
MARIAM ISMAIL PA-C
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 631-514-7600
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Mailing Address
MARIAM ISMAIL PA-C
270 PITCHER LN
RED HOOK, NY 12571-2128
Phone number: 845-750-1867
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