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1437675097
GRACE AMBIO
STATEN ISLAND, NY
NPI
1437675097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
GRACE AMBIO PA-C
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1234
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Mailing Address
GRACE AMBIO PA-C
170 LYNDALE AVE
STATEN ISLAND, NY 10312-5540
Phone number: 718-510-3284
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