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1376896142
MELANIE DOUGLAS
STATEN ISLAND, NY
NPI
1376896142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 015826-1)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
Ms. MELANIE DOUGLAS PA-C
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1234
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Mailing Address
Ms. MELANIE DOUGLAS PA-C
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1234
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