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1568885390
LATISHA HANSON
BRONX, NY
NPI
1568885390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F401531-1)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- LATISHA HANSON PMHNP-BC
5676 RIVERDALE AVE STE 202
BRONX, NY 10471-2100
Phone number: 718-796-5300
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Mailing Address
-- LATISHA HANSON PMHNP-BC
5676 RIVERDALE AVE STE 202
BRONX, NY 10471-2100
Phone number: 718-796-5300
Copy
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