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1568775104
JOHAIRA LIDASAN DIANALAN
FLUSHING, NY
NPI
1568775104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 271857)
Enumeration Date
2010-07-25
Last Update Date
2021-09-22
Business Address
Dr. JOHAIRA LIDASAN DIANALAN MD
140-15 SANFORD AVE
FLUSHING, NY 11355
Phone number: 718-826-4000
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Mailing Address
Dr. JOHAIRA LIDASAN DIANALAN MD
55 WATER STREET 2ND FLOOR CRED DEPT
NEW YORK, NY 10041-0004
Phone number: 646-680-2888
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