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1497301444
STEPHANIE ANGELA VAN ROSSEM
ASTORIA, NY
NPI
1497301444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: NY 421399)
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
STEPHANIE ANGELA VAN ROSSEM
28-18 ASTORIA BLVD, ASTORIA, NY 11102
ASTORIA, NY 11102
Phone number: 917-410-6905
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Mailing Address
STEPHANIE ANGELA VAN ROSSEM
9901 164TH AVE
HOWARD BEACH, NY 11414-4009
Phone number: 718-551-4588
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