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Individual

MRS. ANA GRISELDA CONTARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
148 MARISA CIR, STATEN ISLAND, NY 10309-2054
(718) 605-1955
Mailing address
148 MARISA CIR, STATEN ISLAND, NY 10309-2054
(718) 605-1955

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009376
NY
363A00000X
Physician Assistant
25MP00107100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03315542
NY
Enumeration date
05/25/2007
Last updated
01/29/2015
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