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1215572375
MARTHA ALEXANDRA TATIS
NEW HYDE PARK, NY
NPI
1215572375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F344521-01)
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
MARTHA ALEXANDRA TATIS
430 LAKEVILLE RD
NEW HYDE PARK, NY 11042-1121
Phone number: 718-470-7550
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Mailing Address
MARTHA ALEXANDRA TATIS
430 LAKEVILLE RD
NEW HYDE PARK, NY 11042-1121
Phone number:
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