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1740940899
JESSICA ROBIN VANNAME
NEW YORK, NY
NPI
1740940899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 027739)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
Ms. JESSICA ROBIN VANNAME PA-C
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2500
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Mailing Address
Ms. JESSICA ROBIN VANNAME PA-C
509 E 78TH ST APT 5C
NEW YORK, NY 10075-1114
Phone number: 845-222-8308
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