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1821284142
DIANA ELISH
REGO PARK, NY
NPI
1821284142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 249712)
Enumeration Date
2007-09-20
Last Update Date
2016-01-29
Business Address
-- DIANA ELISH M.D.
9732 63RD RD
REGO PARK, NY 11374-1639
Phone number: 718-275-2224
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Mailing Address
-- DIANA ELISH M.D.
9707 63RD RD APT 5D
REGO PARK, NY 11374-1607
Phone number: 917-609-3952
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