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1003248535
DANIELLA OTAIZA
STATEN ISLAND, NY
NPI
1003248535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 338216)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- DANIELLA OTAIZA F.N.P
5 LITTLE CLOVE RD
STATEN ISLAND, NY 10301-4304
Phone number: 718-876-9600
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Mailing Address
-- DANIELLA OTAIZA F.N.P
5 LITTLE CLOVE RD
STATEN ISLAND, NY 10301-4304
Phone number: 718-876-9600
Copy
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