KELLY JAN WALEWSKI

NEW YORK, NY
NPI1316087463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  011357)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
Miss KELLY JAN WALEWSKI PA
177 FORT WASHINGTON AVE
NEW YORK, NY 10032-3733
Phone number: 212-305-4141
Mailing Address
Miss KELLY JAN WALEWSKI PA
406 JEFFERSON ST APT 403
HOBOKEN, NJ 07030-8609
Phone number: 631-748-2567
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