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1568933745
ALEXANDRA ANSELMO
VALLEY STREAM, NY
NPI
1568933745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 382868)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
ALEXANDRA ANSELMO
167 E MERRICK RD
VALLEY STREAM, NY 11580-5925
Phone number: 516-825-3030
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Mailing Address
ALEXANDRA ANSELMO
4830 40TH ST APT 7K
SUNNYSIDE, NY 11104-4131
Phone number: 516-732-1829
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