DIANA VLASOV

NEW YORK, NY
NPI1346491859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004582-1)
Enumeration Date2008-10-02
Last Update Date2008-10-02
Business Address
-- DIANA VLASOV PA
429 2ND AVE
NEW YORK, NY 10010-3101
Phone number: 212-726-6803
Mailing Address
-- DIANA VLASOV PA
21 STERN CT
STATEN ISLAND, NY 10308-2158
Phone number: 347-983-4585