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1376562397
ALEXANDRA KATHERINE PANTELIOS
STATEN ISLAND, NY
NPI
1376562397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007023-1)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Miss ALEXANDRA KATHERINE PANTELIOS P.A.
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9399
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Mailing Address
Miss ALEXANDRA KATHERINE PANTELIOS P.A.
753 DELAFIELD AVE
STATEN ISLAND, NY 10310-2236
Phone number: 718-876-7453
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