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1427573039
CARLY JILL ROME
NEW YORK, NY
NPI
1427573039
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Former Name
CARLY JILL LEVANTHAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-04
Last Update Date
2018-10-29
Business Address
Mrs. CARLY JILL ROME PA
5 COLUMBUS CIRCLE 8TH FLOOR
NEW YORK, NY 10019-1412
Phone number: 212-590-5580
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Mailing Address
Mrs. CARLY JILL ROME PA
555 W 23RD ST APT S12F
NEW YORK, NY 10011-1027
Phone number: 203-980-5958
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