THERESA FEDERICI

BAYSIDE, NY
NPI1972863785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  011835)
Enumeration Date2012-05-25
Last Update Date2012-05-25
Business Address
Ms. THERESA FEDERICI PA
1785 215TH ST 4A
BAYSIDE, NY 11360-1727
Phone number: 917-913-5633
Mailing Address
Ms. THERESA FEDERICI PA
1785 215TH ST 4A
BAYSIDE, NY 11360-1727
Phone number: 917-913-5633
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