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1518742352
DIANA IVEZAJ
NEW YORK, NY
NPI
1518742352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 029668)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
-- DIANA IVEZAJ PA
4 COLUMBUS CIR FL 4
NEW YORK, NY 10019-1100
Phone number: 866-942-4817
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Mailing Address
-- DIANA IVEZAJ PA
4 COLUMBUS CIR FL 4
NEW YORK, NY 10019-1100
Phone number:
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