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1063000586
ALYSSA BAVUSO
NEW YORK, NY
NPI
1063000586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY f309918-01)
Enumeration Date
2021-01-10
Last Update Date
2021-01-10
Business Address
ALYSSA BAVUSO
345 E 37TH ST RM 208
NEW YORK, NY 10016-3256
Phone number: 866-582-7454
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Mailing Address
ALYSSA BAVUSO
41 TAMARACK DR
CORTLANDT MANOR, NY 10567-6722
Phone number: 914-257-1962
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