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1124508874
MARISSA KRYSTAL SENISE
NEW YORK, NY
NPI
1124508874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 308901)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
MARISSA KRYSTAL SENISE
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number: 212-241-9502
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Mailing Address
MARISSA KRYSTAL SENISE
61 CLOSTER RD
PALISADES, NY 10964-1528
Phone number: 201-835-9632
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