MARIA DIVETTA

STATEN ISLAND, NY
NPI1295984011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  269154)
Enumeration Date2008-09-17
Last Update Date2008-09-17
Business Address
-- MARIA DIVETTA LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
Mailing Address
-- MARIA DIVETTA LPN
106 SPARKILL AVE
STATEN ISLAND, NY 10304-3139
Phone number: 718-987-4145
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