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1881741866
MARY CERASOLI
ROSLYN, NY
NPI
1881741866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 008057)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
MARY CERASOLI P.A.
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-338-5358
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Mailing Address
MARY CERASOLI P.A.
1400 OLD COUNTRY RD
WESTBURY, NY 11590-5156
Phone number: 516-338-5300
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