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Individual

ASTA GADIAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2086 2ND AVE APT 14B, NEW YORK, NY 10029-4162
(212) 876-3842
Mailing address
2086 2ND AVE APT 14B, NEW YORK, NY 10029-4162
(212) 876-3842

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
669336
NY

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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