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1225448129
CHRISTIANNE SUPAN
NEW YORK, NY
NPI
1225448129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F430802-1)
Enumeration Date
2014-04-30
Last Update Date
2019-02-04
Business Address
CHRISTIANNE SUPAN
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 732-735-1898
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Mailing Address
CHRISTIANNE SUPAN
311 E 38TH ST APT 18E
NEW YORK, NY 10016-2729
Phone number: 732-735-1898
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