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1093941411
SUSAN FANIZZI
STATEN ISLAND, NY
NPI
1093941411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 189252)
Enumeration Date
2009-06-01
Last Update Date
2009-06-01
Business Address
-- SUSAN FANIZZI LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
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Mailing Address
-- SUSAN FANIZZI LPN
189 FRANKLIN AVE
STATEN ISLAND, NY 10301-1234
Phone number: 718-727-7763
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