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1821727744
DIARA ALESSANDRA VICEDOMINI
BRONX, NY
NPI
1821727744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 028873)
Enumeration Date
2022-06-07
Last Update Date
2022-10-07
Business Address
DIARA ALESSANDRA VICEDOMINI PA
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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Mailing Address
DIARA ALESSANDRA VICEDOMINI PA
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
Copy
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