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1033636709
ALLISON MARIE PROVENZALE
MANHASSET, NY
NPI
1033636709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 431178)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
ALLISON MARIE PROVENZALE ACNP
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
ALLISON MARIE PROVENZALE ACNP
6 WICHITA PATH
OAKLAND, NJ 07436-3818
Phone number:
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