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1255429791
EILEEN FORTUNE DAMANTE
ELMHURST, NY
NPI
1255429791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F303572)
Enumeration Date
2006-10-10
Last Update Date
2015-08-21
Business Address
-- EILEEN FORTUNE DAMANTE
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-3969
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Mailing Address
-- EILEEN FORTUNE DAMANTE
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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