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1124591052
JACQUELYN S STATHIS
NEW YORK, NY
NPI
1124591052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00814500)
Enumeration Date
2019-01-03
Last Update Date
2023-10-23
Business Address
JACQUELYN S STATHIS NP
100 E 77TH ST
NEW YORK, NY 10075-1850
Phone number: 212-434-2000
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Mailing Address
JACQUELYN S STATHIS NP
100 E 77TH ST
NEW YORK, NY 10075-1850
Phone number: 212-434-2000
Copy
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