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1801830013
PENELOPE A. MCNICHOLAS
MINEOLA, NY
NPI
1801830013
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Former Name
PENELOPE A MURRAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005528)
Enumeration Date
2006-06-16
Last Update Date
2016-09-02
Business Address
MS. PENELOPE A. MCNICHOLAS RPA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-2727
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Mailing Address
MS. PENELOPE A. MCNICHOLAS RPA-C
700 HICKSVILLE RD SUITE 204
BETHPAGE, NY 11714-3471
Phone number: 516-576-5812
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