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1831524123
TIA M MANCINI
ROCHESTER, NY
NPI
1831524123
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Former Name
TIA M HEWITT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 016918)
Enumeration Date
2013-09-05
Last Update Date
2024-05-29
Business Address
TIA M MANCINI PA
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-3963
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Mailing Address
TIA M MANCINI PA
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-0553
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