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FABIENNE MONDELUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
82-68 164TH ST, JAMAICA,NY, QUEENS HOSPITAL CENTER, QUEENS, NY 11432-2929
(718) 883-3000
Mailing address
4 W RED OAK LN STE 310A, WHITE PLAINS, NY 10604-3603
(914) 719-6079

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/15/2020
Last updated
06/10/2021
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