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1902931785
JEYA BALASUBRAMANIAN
BRONX, NY
NPI
1902931785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 011581-1)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Miss JEYA BALASUBRAMANIAN PA
111 E 210TH ST MONTEFIORE MEDICAL CENTER
BRONX, NY 10467-2401
Phone number: 718-920-2961
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Mailing Address
Miss JEYA BALASUBRAMANIAN PA
180 PHELPS AVE
ENGLEWOOD, NJ 07631-4913
Phone number: 201-568-2820
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