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1184179111
MARIA CIVILLE
STATEN ISLAND, NY
NPI
1184179111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 340526)
Enumeration Date
2016-08-19
Last Update Date
2017-02-02
Business Address
-- MARIA CIVILLE
4771 HYLAN BLVD
STATEN ISLAND, NY 10312-6315
Phone number: 718-948-8200
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Mailing Address
-- MARIA CIVILLE
55 WATER ST 12TH FLOOR
NEW YORK, NY 10041-0004
Phone number: 646-680-2888
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