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1598011926
KATHLEEN ALYSE KOENDERMAN
NEW YORK, NY
NPI
1598011926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015753-1)
Enumeration Date
2012-08-03
Last Update Date
2012-08-28
Business Address
-- KATHLEEN ALYSE KOENDERMAN PA
627 W 165TH ST
NEW YORK, NY 10032-3790
Phone number: 516-659-4505
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Mailing Address
-- KATHLEEN ALYSE KOENDERMAN PA
1781 WILLIS AVE
MERRICK, NY 11566-2921
Phone number: 516-659-4505
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