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1508903329
DINA SOPHIA TILVES
SUFFERN, NY
NPI
1508903329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY f430304)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- DINA SOPHIA TILVES np
255 LAFAYETTE AVE
SUFFERN, NY 10901-4812
Phone number: 845-368-5983
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Mailing Address
-- DINA SOPHIA TILVES np
1530 COUNTY ROUTE 1
WESTTOWN, NY 10998-4206
Phone number: 845-683-1179
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