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1932628708
KRISTA LYNN CARBONARA
STATEN ISLAND, NY
NPI
1932628708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
Ms. KRISTA LYNN CARBONARA PA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
Ms. KRISTA LYNN CARBONARA PA
72 MARIANNE ST
STATEN ISLAND, NY 10302-2507
Phone number: 347-524-8143
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