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1508007469
LILLIAN ANNE TELLEFSEN
STATEN ISLAND, NY
NPI
1508007469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010697-1)
Enumeration Date
2009-03-23
Last Update Date
2016-01-27
Business Address
Miss LILLIAN ANNE TELLEFSEN PA-C
2454 HYLAN BLVD
STATEN ISLAND, NY 10306-3117
Phone number: 718-233-1300
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Mailing Address
Miss LILLIAN ANNE TELLEFSEN PA-C
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-3624
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