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1568197333
PHYLLICITY BENJAMIN
STATEN ISLAND, NY
NPI
1568197333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327613)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
PHYLLICITY BENJAMIN
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-8510
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Mailing Address
PHYLLICITY BENJAMIN
294 GLEN AVE
STATEN ISLAND, NY 10301-2824
Phone number: 917-938-6808
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