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1285020842
MARINA FEST
STATEN ISLAND, NY
NPI
1285020842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F339405-1)
Enumeration Date
2015-04-10
Last Update Date
2018-07-19
Business Address
MARINA FEST NP
470 SEAVIEW AVE
STATEN ISLAND, NY 10305-3401
Phone number: 718-987-5940
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Mailing Address
MARINA FEST NP
97 NEW DORP LN STE A
STATEN ISLAND, NY 10306-2364
Phone number: 718-876-6220
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