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1760904163
KLEEDY ST SURIN
STATEN ISLAND, NY
NPI
1760904163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021007)
Enumeration Date
2017-07-07
Last Update Date
2020-10-23
Business Address
KLEEDY ST SURIN PA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
KLEEDY ST SURIN PA
532 E 81ST ST
BROOKLYN, NY 11236-3117
Phone number: 718-541-1855
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