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1285271189
MARTHA NAHUESENAY DESTA
NEW YORK, NY
NPI
1285271189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F341751-1)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
MARTHA NAHUESENAY DESTA NP
505 E 70TH ST
NEW YORK, NY 10021-4872
Phone number: 646-673-5885
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Mailing Address
MARTHA NAHUESENAY DESTA NP
505 E 70TH ST
NEW YORK, NY 10021-4872
Phone number: 646-673-5885
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