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1245651744
SAMMANASU PRAKASAM
STATEN ISLAND, NY
NPI
1245651744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 680504)
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
-- SAMMANASU PRAKASAM RN
275 CASTLETON AVE
STATEN ISLAND, NY 10301-2709
Phone number: 718-447-5785
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Mailing Address
-- SAMMANASU PRAKASAM RN
419 LISK AVE
STATEN ISLAND, NY 10303-1779
Phone number: 718-494-1067
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