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1720277171
INNA GEDZBERG
BRONX, NY
NPI
1720277171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 004996)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
Ms. INNA GEDZBERG
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2961
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Mailing Address
Ms. INNA GEDZBERG
22 MALTESE DR
FAIR LAWN, NJ 07410-5812
Phone number: 201-475-9515
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