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1760986939
JENNY JOHANNA WADA
NEW YORK, NY
NPI
1760986939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021927)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
JENNY JOHANNA WADA PA-C
5141 BROADWAY
NEW YORK, NY 10034-1159
Phone number: 212-932-4000
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Mailing Address
JENNY JOHANNA WADA PA-C
311 E 76TH ST APT 17
NEW YORK, NY 10021-2430
Phone number: 347-400-7369
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