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1588022198
JENNA ROSE LAURIA
STATEN ISLAND, NY
NPI
1588022198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019495)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- JENNA ROSE LAURIA PA
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-2995
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Mailing Address
-- JENNA ROSE LAURIA PA
272 GIFFORDS LN
STATEN ISLAND, NY 10308-1620
Phone number: 718-772-1200
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