KATIE STAPHOS

ROSLYN, NY
NPI1760488001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  006980-1)
Enumeration Date2005-06-22
Last Update Date2010-11-09
Business Address
KATIE STAPHOS R.P.A.-C
1405 OLD NORTHERN BLVD
ROSLYN, NY 11576-2252
Phone number: 516-484-6777
Mailing Address
KATIE STAPHOS R.P.A.-C
1405 OLD NORTHERN BLVD
ROSLYN, NY 11576-2252
Phone number: 516-484-6777
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