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1700972098
JULIA ELISA NIEVES
ELMHURST, NY
NPI
1700972098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004851)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Ms. JULIA ELISA NIEVES PA
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-5970
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Mailing Address
Ms. JULIA ELISA NIEVES PA
7901 BROADWAY MANAGED CARE D101
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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