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1407501125
MYRIAM C MENTOR
NEW YORK, NY
NPI
1407501125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 348611)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
Miss MYRIAM C MENTOR NP
130 E 77TH ST
NEW YORK, NY 10075-1851
Phone number: 212-434-6400
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Mailing Address
Miss MYRIAM C MENTOR NP
9405 FARRAGUT RD
BROOKLYN, NY 11236-2027
Phone number: 646-299-3239
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