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1760929855
JOANNA VASTARDIS
MINEOLA, NY
NPI
1760929855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 20568)
Enumeration Date
2017-01-26
Last Update Date
2023-06-28
Business Address
JOANNA VASTARDIS
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-2384
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Mailing Address
JOANNA VASTARDIS
259 1ST ST
MINEOLA, NY 11501-3957
Phone number:
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