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1154840106
ERNELL PAYNE
ASTORIA, NY
NPI
1154840106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 729574)
Enumeration Date
2017-09-11
Last Update Date
2022-07-21
Business Address
ERNELL PAYNE
34-25 VERNON BLVD
ASTORIA, NY 11106
Phone number: 718-726-8484
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Mailing Address
ERNELL PAYNE
3425 VERNON BLVD
ASTORIA, NY 11106-5121
Phone number: 718-726-8484
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