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1396455010
REGINA MA
NEW YORK, NY
NPI
1396455010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 432113)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
REGINA MA
530 1ST AVE STE 9N
NEW YORK, NY 10016-6402
Phone number: 917-263-7751
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Mailing Address
REGINA MA
6795 DARTMOUTH ST
FOREST HILLS, NY 11375-4147
Phone number: 917-365-8902
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