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1306114228
DORIN LICONTI
STATEN ISLAND, NY
NPI
1306114228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-12-06
Last Update Date
2022-04-08
Business Address
DORIN LICONTI RPA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8895
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Mailing Address
DORIN LICONTI RPA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number:
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