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1538598313
MARISA MOYER-GANTA
NEW YORK, NY
NPI
1538598313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016977)
Enumeration Date
2013-11-02
Last Update Date
2022-12-02
Business Address
Mrs. MARISA MOYER-GANTA
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 212-263-7300
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Mailing Address
Mrs. MARISA MOYER-GANTA
240 E SHORE RD PH 39
GREAT NECK, NY 11023-2451
Phone number: 631-806-7497
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