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1730229196
CYNTHIA DESRAVINES
BRONX, NY
NPI
1730229196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011470-1)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- CYNTHIA DESRAVINES PA
1400 PELHAM PKWY S
BRONX, NY 10461-1138
Phone number: 718-918-3060
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Mailing Address
-- CYNTHIA DESRAVINES PA
21516 111TH AVE
QUEENS VILLAGE, NY 11429-1911
Phone number:
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