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1821548603
DIAMOND MEDINA
JAMAICA, NY
NPI
1821548603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020226)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
-- DIAMOND MEDINA
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3070
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Mailing Address
-- DIAMOND MEDINA
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3070
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