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Individual

FABIOLA GAZONI DE SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1341
Mailing address
1 COLUMBUS PL, N 37A, NEW YORK, NY 10019-8201
(917) 991-6924

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
268167
NY

Other

Enumeration date
08/02/2013
Last updated
01/09/2014
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