KATHLEEN ALYSE KOENDERMAN

NEW YORK, NY
NPI1598011926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015753-1)
Enumeration Date2012-08-03
Last Update Date2012-08-28
Business Address
-- KATHLEEN ALYSE KOENDERMAN PA
627 W 165TH ST
NEW YORK, NY 10032-3790
Phone number: 516-659-4505
Mailing Address
-- KATHLEEN ALYSE KOENDERMAN PA
1781 WILLIS AVE
MERRICK, NY 11566-2921
Phone number: 516-659-4505
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