TANIA PANICUCCI-ROMA

BRONX, NY
NPI1447622378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  019312)
Enumeration Date2015-10-30
Last Update Date2015-10-30
Business Address
-- TANIA PANICUCCI-ROMA PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 845-323-8097
Mailing Address
-- TANIA PANICUCCI-ROMA PA
3450 WAYNE AVE APT 13G
BRONX, NY 10467-2516
Phone number: 845-323-8097
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