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1083167274
NICOLE PRUSAK
NEW YORK, NY
NPI
1083167274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F340891)
Enumeration Date
2016-07-25
Last Update Date
2023-06-29
Business Address
NICOLE PRUSAK NP
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5566
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Mailing Address
NICOLE PRUSAK NP
525 E 68TH ST # 94
NEW YORK, NY 10065-4870
Phone number: 732-887-8459
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