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1508401043
SMITA DATTA
ELMHURST, NY
NPI
1508401043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345065)
Enumeration Date
2019-11-07
Last Update Date
2019-11-12
Business Address
SMITA DATTA
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 347-761-9439
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Mailing Address
SMITA DATTA
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-2480
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