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1346798071
MARYANN DELUCA-GREENLAW
BAYPORT, NY
NPI
1346798071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NY 668418121)
Enumeration Date
2016-09-11
Last Update Date
2016-09-11
Business Address
-- MARYANN DELUCA-GREENLAW
191 FAIRVIEW AVE
BAYPORT, NY 11705-1873
Phone number: 631-563-4956
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Mailing Address
-- MARYANN DELUCA-GREENLAW
191 FAIRVIEW AVE
BAYPORT, NY 11705-1873
Phone number:
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