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1295360725
SEA WAVE NP ADULT HEALTH PC
NEW YORK, NY
NPI
1295360725
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Entity Type
Organization
Authorized Contact
DEBRA BLAIR
Business Manager
347-693-5790
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
SEA WAVE NP ADULT HEALTH PC
10 E 39TH ST RM 914
NEW YORK, NY 10016-0111
Phone number: 347-389-2008
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Mailing Address
SEA WAVE NP ADULT HEALTH PC
1164 E 45TH ST
BROOKLYN, NY 11234-1430
Phone number: 347-693-5790
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