THERESE LILLIAN FORMICA

STATEN ISLAND, NY
NPI1356598221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  548888)
Enumeration Date2008-08-22
Last Update Date2008-08-22
Business Address
-- THERESE LILLIAN FORMICA RN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
Mailing Address
-- THERESE LILLIAN FORMICA RN
12 ADRIENNE PL
STATEN ISLAND, NY 10308-2912
Phone number: 718-966-5237
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