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1144746793
NINA THERESA STATILE
RENSSELAER, NY
NPI
1144746793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 342065)
Enumeration Date
2017-08-16
Last Update Date
2021-05-20
Business Address
NINA THERESA STATILE NP
2 EMPIRE DR STE 100
RENSSELAER, NY 12144-5730
Phone number: 518-286-4899
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Mailing Address
NINA THERESA STATILE NP
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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