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1386836104
MELISSA LANZA
STATEN ISLAND, NY
NPI
1386836104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 334756)
Enumeration Date
2007-08-15
Last Update Date
2011-06-16
Business Address
-- MELISSA LANZA
3700 RICHMOND AVE
STATEN ISLAND, NY 10312-3836
Phone number: 718-980-6103
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Mailing Address
-- MELISSA LANZA
470 MASON AVE
STATEN ISLAND, NY 10305-2222
Phone number: 718-980-6103
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