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1669178083
ELLIE THEODORAKIS
JAMAICA, NY
NPI
1669178083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
ELLIE THEODORAKIS PA-C
9420 GUY R BREWER BLVD
JAMAICA, NY 11451-0002
Phone number: 718-262-2000
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Mailing Address
ELLIE THEODORAKIS PA-C
9420 GUY R BREWER BLVD
JAMAICA, NY 11451-0002
Phone number: 718-262-2000
Copy
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