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1376009076
MARINA JOSE
NEW HYDE PARK, NY
NPI
1376009076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY F401928-1)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
MARINA JOSE
55 WILLIAM ST
NEW HYDE PARK, NY 11040-3821
Phone number: 516-780-1548
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Mailing Address
MARINA JOSE
55 WILLIAM ST
NEW HYDE PARK, NY 11040-3821
Phone number: 516-780-1548
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