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1275904922
DESIREE FEDRICH
STONY BROOK, NY
NPI
1275904922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY F306194-1)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
MRS. DESIREE FEDRICH NP
SUNY STONY BROOK HOSPITAL 101 NICHOLS ROAD
STONY BROOK, NY 11794-0001
Phone number: 631-638-0693
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Mailing Address
MRS. DESIREE FEDRICH NP
STONY BROOK CANCER CTR 9445 SUNY 9460
STONY BROOK, NY 11794-9460
Phone number: 631-638-0693
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