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1114125507
PHYLLIS JEAN PASS
NEW YORK, NY
NPI
1114125507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F304255-1)
Enumeration Date
2007-07-06
Last Update Date
2007-07-08
Business Address
-- PHYLLIS JEAN PASS NP
100 E 77TH ST
NEW YORK, NY 10021-1850
Phone number: 212-434-2132
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Mailing Address
-- PHYLLIS JEAN PASS NP
103 SCHOOL ST
PISCATAWAY, NJ 08854-5920
Phone number: 732-572-0572
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