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1376165829
AMBER DISTAFANO
CENTRAL ISLIP, NY
NPI
1376165829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 674452)
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
AMBER DISTAFANO RN
159 CARLETON AVE
CENTRAL ISLIP, NY 11722-4172
Phone number: 650-250-2087
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Mailing Address
AMBER DISTAFANO RN
159 CARLETON AVE
CENTRAL ISLIP, NY 11722-4172
Phone number: 650-250-2087
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