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1679349310
DERELIS MOVILLA
ASTORIA, NY
NPI
1679349310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-12-04
Last Update Date
2024-07-24
Business Address
DERELIS MOVILLA PA
2531 30TH RD STE 1A
ASTORIA, NY 11102-2624
Phone number: 718-267-1102
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Mailing Address
DERELIS MOVILLA PA
2531 30TH RD STE 1A
ASTORIA, NY 11102-2624
Phone number: 718-267-1102
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