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1275925877
ROANNIE DIVINE PAPA SANTOS
BAYSIDE, NY
NPI
1275925877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F339421-1)
Enumeration Date
2015-02-19
Last Update Date
2022-01-10
Business Address
ROANNIE DIVINE PAPA SANTOS FNP
4401 FRANCIS LEWIS BLVD STE L3A
BAYSIDE, NY 11361-3028
Phone number: 718-423-3355
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Mailing Address
ROANNIE DIVINE PAPA SANTOS FNP
1 GUSTAVE L. LEVY PLACE BOX 1030 (CATH LAB)
NEW YORK, NY 10029
Phone number: 212-241-6500
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