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1366024978
DAGIM DESTA
STATEN ISLAND, NY
NPI
1366024978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
Dr. DAGIM DESTA MD
355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY 10310
Phone number: 718-818-2419
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Mailing Address
Dr. DAGIM DESTA MD
355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST F
STATEN ISLAND, NY 10310
Phone number: 718-818-2419
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