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1982261145
MAGNIM KISSAO
STATEN ISLAND, NY
NPI
1982261145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY 023041)
Enumeration Date
2019-05-23
Last Update Date
2023-06-04
Business Address
Ms. MAGNIM KISSAO PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
Ms. MAGNIM KISSAO PA-C
7 NAVY PIER CT UNIT 4054
STATEN ISLAND, NY 10304-5430
Phone number: 347-247-6962
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