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1396055208
EVELYN BOSS
STATEN ISLAND, NY
NPI
1396055208
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Former Name
EVELYN COSUMANO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014326)
Enumeration Date
2010-10-13
Last Update Date
2013-07-22
Business Address
EVELYN BOSS P.A.
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
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Mailing Address
EVELYN BOSS P.A.
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9158
Copy
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