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1104811991
SARA DEBORAH BACK
BRONX, NY
NPI
1104811991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F333271)
Enumeration Date
2005-09-17
Last Update Date
2008-07-09
Business Address
Ms. SARA DEBORAH BACK FNP MPH
3424 KOSSUTH AVE RM #3H17
BRONX, NY 10467-2410
Phone number: 718-519-3631
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Mailing Address
Ms. SARA DEBORAH BACK FNP MPH
80 LASALLE ST 9C
NEW YORK, NY 10027-4713
Phone number: 212-316-2445
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