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1457789174
SAMANTHA CIACCIA
BRONX, NY
NPI
1457789174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017105)
Enumeration Date
2013-10-15
Last Update Date
2013-10-15
Business Address
-- SAMANTHA CIACCIA PA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- SAMANTHA CIACCIA PA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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