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1255985800
NICOLETTE MARIE TIERNAN
MANHASSET, NY
NPI
1255985800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
NICOLETTE MARIE TIERNAN PA-C
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
NICOLETTE MARIE TIERNAN PA-C
22 ASHLEY LOOP
FORT SALONGA, NY 11768-1463
Phone number: 631-356-9143
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