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1780191650
MIRIAM ELYASSIAN
WEST ISLIP, NY
NPI
1780191650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-01-02
Last Update Date
2018-01-02
Business Address
MIRIAM ELYASSIAN PAC
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 516-252-3939
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Mailing Address
MIRIAM ELYASSIAN PAC
48 PINETREE LN
ROSLYN HEIGHTS, NY 11577-2420
Phone number: 516-426-4968
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