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1366962870
MARISA AYVALIOTIS
NEW YORK, NY
NPI
1366962870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020917)
Enumeration Date
2017-06-26
Last Update Date
2017-06-27
Business Address
MARISA AYVALIOTIS
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2500
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Mailing Address
MARISA AYVALIOTIS
34 S PARK DR
TENAFLY, NJ 07670-3025
Phone number:
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