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1710016795
DIANE D'AMICO
STATEN ISLAND, NY
NPI
1710016795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 002341)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mrs. DIANE D'AMICO P.A.
1408 RICHMOND RD
STATEN ISLAND, NY 10304-2312
Phone number: 718-226-2642
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Mailing Address
Mrs. DIANE D'AMICO P.A.
236 KING ST
STATEN ISLAND, NY 10312-6206
Phone number: 718-948-3487
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