ASTRID THALIA JEAN

BRONX, NY
NPI1528310216
Former NameASTRID THALIA LOUIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  015363)
Enumeration Date2012-10-05
Last Update Date2018-11-08
Business Address
Mrs. ASTRID THALIA JEAN PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
Mrs. ASTRID THALIA JEAN PA
3411 WAYNE AVE APT 8L
BRONX, NY 10467-2509
Phone number: 347-879-5978
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