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1477734804
DIMITRA MITSIANIS
BRONX, NY
NPI
1477734804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NY 009156)
Enumeration Date
2007-11-14
Last Update Date
2007-11-16
Business Address
DIMITRA MITSIANIS PA
234 EUGENIO MARIA DE HOSTOS 149TH ST DEPARTMENT OF SURGERY
BRONX, NY 10451-5504
Phone number: 718-579-5000
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Mailing Address
DIMITRA MITSIANIS PA
234 EUGENIO MARIA DE HOSTOS 149TH ST DEPARTMENT OF SURGERY
BRONX, NY 10451-5504
Phone number: 718-579-5000
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