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1669152195
LIA VANESSA PERALTA
FOREST HILLS, NY
NPI
1669152195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030144-01)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
LIA VANESSA PERALTA PA-C
10201 66TH RD
FOREST HILLS, NY 11375-2029
Phone number: 347-600-4634
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Mailing Address
LIA VANESSA PERALTA PA-C
17270 HIGHLAND AVE APT 5F
JAMAICA, NY 11432-2815
Phone number:
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