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1730890427
NICOLE KOSUDA
GARDEN CITY, NY
NPI
1730890427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 029195-01)
Enumeration Date
2022-12-13
Last Update Date
2022-12-14
Business Address
NICOLE KOSUDA PA
520 FRANKLIN AVE STE 212
GARDEN CITY, NY 11530-5815
Phone number: 212-355-5555
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Mailing Address
NICOLE KOSUDA PA
520 FRANKLIN AVE STE 212
GARDEN CITY, NY 11530-5815
Phone number:
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