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1326253642
SUDHA K OMPRAKASH
STATEN ISLAND, NY
NPI
1326253642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 005194)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Mrs. SUDHA K OMPRAKASH PA
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-3260
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Mailing Address
Mrs. SUDHA K OMPRAKASH PA
31 NORMAN PL
STATEN ISLAND, NY 10309-4015
Phone number:
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