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1013527258
EDWIDGE D DESGRAVES
HEMPSTEAD, NY
NPI
1013527258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 309713)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
EDWIDGE D DESGRAVES
129 JACKSON ST
HEMPSTEAD, NY 11550-2412
Phone number: 212-695-5122
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Mailing Address
EDWIDGE D DESGRAVES
997 HUCKLEBERRY RD
NORTH BELLMORE, NY 11710-1913
Phone number: 516-610-7071
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