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1932366283
ADIA N RAVENELL
NEW YORK, NY
NPI
1932366283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 23 012554)
Enumeration Date
2008-05-22
Last Update Date
2018-05-16
Business Address
Mrs. ADIA N RAVENELL P.A.-C
264 W 118TH ST
NEW YORK, NY 10026
Phone number: 212-932-6500
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Mailing Address
Mrs. ADIA N RAVENELL P.A.-C
264 W 118TH ST
NEW YORK, NY 10026-1620
Phone number: 212-932-6500
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