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1417368838
GARY CARLISLE
NEW YORK, NY
NPI
1417368838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F401463-1)
Enumeration Date
2014-05-20
Last Update Date
2014-05-21
Business Address
-- GARY CARLISLE
150 E 58TH ST 25TH FL
NEW YORK, NY 10155-0002
Phone number: 212-223-2920
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Mailing Address
-- GARY CARLISLE
150 E 58TH ST 25TH FL
NEW YORK, NY 10155-0002
Phone number: 212-223-2920
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