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1427251032
LUZ M. FONSECA
BROOKLYN, NY
NPI
1427251032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 007235)
Enumeration Date
2007-06-09
Last Update Date
2007-07-08
Business Address
Mrs. LUZ M. FONSECA P.A.
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-7243
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Mailing Address
Mrs. LUZ M. FONSECA P.A.
10218 92ND AVE
RICHMOND HILL, NY 11418-2905
Phone number: 718-849-3244
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