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1306030721
DIANA GENNARO
BRONX, NY
NPI
1306030721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011993)
Enumeration Date
2007-08-29
Last Update Date
2017-01-03
Business Address
-- DIANA GENNARO Physician Assistant
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2985
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Mailing Address
-- DIANA GENNARO Physician Assistant
75 MOUNTAINSIDE DR
CHESTER, NY 10918-1419
Phone number: 845-238-5878
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