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1457100570
DEEPTHI JOSE
BRONX, NY
NPI
1457100570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F353536-01)
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
DEEPTHI JOSE NP
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
DEEPTHI JOSE NP
1 THERESA LN
SCARSDALE, NY 10583-4621
Phone number: 914-573-1368
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