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1861938698
KELLY ELIZABETH LIFAVI
BROOKLYN, NY
NPI
1861938698
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Former Name
KELLY ELIZABETH BOCCHINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-01-18
Last Update Date
2024-07-09
Business Address
KELLY ELIZABETH LIFAVI PA-C
461 FULTON ST FL 2
BROOKLYN, NY 11201-5207
Phone number: 718-571-9418
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Mailing Address
KELLY ELIZABETH LIFAVI PA-C
1345 AVENUE OF THE AMERICAS FL 8
NEW YORK, NY 10105-0018
Phone number: 212-913-0828
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