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1215690425
DESIREE INEZ DENNIS
DEER PARK, NY
NPI
1215690425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 310456)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
DESIREE INEZ DENNIS NP
1630 DEER PARK AVE
DEER PARK, NY 11729-5210
Phone number: 631-242-6166
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Mailing Address
DESIREE INEZ DENNIS NP
18 CAMPBELL LN
EAST ISLIP, NY 11730-3619
Phone number: 631-332-1424
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