DIARA ALESSANDRA VICEDOMINI

BRONX, NY
NPI1821727744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  028873)
Enumeration Date2022-06-07
Last Update Date2022-10-07
Business Address
DIARA ALESSANDRA VICEDOMINI PA
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
Mailing Address
DIARA ALESSANDRA VICEDOMINI PA
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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