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1174745293
STACI MARIE MEMMESHEIMER
STATEN ISLAND, NY
NPI
1174745293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F333983)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- STACI MARIE MEMMESHEIMER F.N.P
25 HYATT ST
STATEN ISLAND, NY 10301-1827
Phone number: 718-808-1317
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Mailing Address
-- STACI MARIE MEMMESHEIMER F.N.P
16 GRAHAM BLVD
STATEN ISLAND, NY 10305-4056
Phone number: 718-979-0695
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