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1992102644
DANIELLE DECESARE
STATEN ISLAND, NY
NPI
1992102644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017927)
Enumeration Date
2014-11-24
Last Update Date
2022-10-04
Business Address
Miss DANIELLE DECESARE PA-C
ADVANCED DERMATOLOGY, PC 2627 B HYLAN BLVD (LOWER LEVEL)
STATEN ISLAND, NY 10306
Phone number: 718-351-8101
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Mailing Address
Miss DANIELLE DECESARE PA-C
6 LOWELL AVE
NEW HYDE PARK, NY 11040
Phone number: 516-326-4160
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