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1932455029
DIANA FERNANDEZ
STATEN ISLAND, NY
NPI
1932455029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015763-1)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
Mrs. DIANA FERNANDEZ
116 LAMBERTS LN
STATEN ISLAND, NY 10314-7210
Phone number: 718-370-0422
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Mailing Address
Mrs. DIANA FERNANDEZ
116 LAMBERTS LN
STATEN ISLAND, NY 10314-7210
Phone number:
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