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1780657452
NATALYA KUSHELEVA
STATEN ISLAND, NY
NPI
1780657452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 006516)
Enumeration Date
2006-02-10
Last Update Date
2007-07-08
Business Address
NATALYA KUSHELEVA PA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9767
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Mailing Address
NATALYA KUSHELEVA PA
105 DOGWOOD LN
STATEN ISLAND, NY 10305-2812
Phone number: 718-981-6846
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