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1538898317
NICOLE PETTAS
MINEOLA, NY
NPI
1538898317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
NICOLE PETTAS MD
222 STATION PLZ N STE 509
MINEOLA, NY 11501-3893
Phone number: 516-663-2381
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Mailing Address
NICOLE PETTAS MD
19 TYLER CT
MAHOPAC, NY 10541-2798
Phone number:
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