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1104120880
SIMONE A CHARITY
STATEN ISLAND, NY
NPI
1104120880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 335933)
Enumeration Date
2011-01-10
Last Update Date
2012-01-10
Business Address
Miss SIMONE A CHARITY NP
130 ROSE AVE
STATEN ISLAND, NY 10306-2241
Phone number: 347-886-1847
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Mailing Address
Miss SIMONE A CHARITY NP
130 ROSE AVE
STATEN ISLAND, NY 10306-2241
Phone number: 347-886-1847
Copy
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