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1124668751
LARA M TREGILLIES
STATEN ISLAND, NY
NPI
1124668751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344841)
Enumeration Date
2020-01-11
Last Update Date
2020-01-11
Business Address
-- LARA M TREGILLIES NP
130 ROSE AVE
STATEN ISLAND, NY 10306-2241
Phone number: 718-980-1553
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Mailing Address
-- LARA M TREGILLIES NP
130 ROSE AVE
STATEN ISLAND, NY 10306-2241
Phone number: 718-980-1553
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