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1588217798
MEDINA ARDOLIC
BROOKLYN, NY
NPI
1588217798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023454)
Enumeration Date
2019-07-17
Last Update Date
2019-07-17
Business Address
MEDINA ARDOLIC PA
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-8137
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Mailing Address
MEDINA ARDOLIC PA
382 VIRGINIA AVE
STATEN ISLAND, NY 10305-1631
Phone number: 917-525-6398
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