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1437518289
MARYANNE RUSSO-MENONI
STATEN ISLAND, NY
NPI
1437518289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 339097)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- MARYANNE RUSSO-MENONI
165 CLINTON B FISKE AVE
STATEN ISLAND, NY 10314-2216
Phone number: 347-693-6408
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Mailing Address
-- MARYANNE RUSSO-MENONI
165 CLINTON B FISKE AVE
STATEN ISLAND, NY 10314-2216
Phone number: 347-693-6408
Copy
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