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1346491859
DIANA VLASOV
NEW YORK, NY
NPI
1346491859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004582-1)
Enumeration Date
2008-10-02
Last Update Date
2008-10-02
Business Address
-- DIANA VLASOV PA
429 2ND AVE
NEW YORK, NY 10010-3101
Phone number: 212-726-6803
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Mailing Address
-- DIANA VLASOV PA
21 STERN CT
STATEN ISLAND, NY 10308-2158
Phone number: 347-983-4585
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