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1518181957
KIM GABRIELLE WALLENSTEIN
SYRACUSE, NY
NPI
1518181957
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Former Name
KIM GABRIELLE MENDELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: NY 257433)
Enumeration Date
2007-04-13
Last Update Date
2012-12-06
Business Address
-- KIM GABRIELLE WALLENSTEIN M.D., Ph.D.
725 IRVING AVE SUITE 401
SYRACUSE, NY 13210-1603
Phone number: 315-464-2878
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Mailing Address
-- KIM GABRIELLE WALLENSTEIN M.D., Ph.D.
2 GRAMPIAN RD APT 9
LIVERPOOL, NY 13090-5010
Phone number:
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