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Individual

CHRISTINE TADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1776 BROADWAY, #1200, NEW YORK, NY 10019-2002
(212) 707-8662
Mailing address
24936 THEBES AVE, LITTLE NECK, NY 11362-1336
(718) 281-0204

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019405-1
NY

Other

Enumeration date
06/30/2016
Last updated
06/30/2016
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