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1710082847
JAZILA MANTIS
JAMAICA, NY
NPI
1710082847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: NY 205564)
Enumeration Date
2006-09-13
Last Update Date
2011-11-07
Business Address
Dr. JAZILA MANTIS MD
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Dr. JAZILA MANTIS MD
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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