SUSANA MONICA TALIA

BRONX, NY
NPI1558655290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  014693)
Enumeration Date2011-05-29
Last Update Date2021-07-22
Business Address
SUSANA MONICA TALIA PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2089
Mailing Address
SUSANA MONICA TALIA PA
3 COLEMAN DR
CAMPBELL HALL, NY 10916-2642
Phone number: 917-892-9551
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