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1588205025
ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC
AMITYVILLE, NY
NPI
1588205025
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Entity Type
Organization
Authorized Contact
TIA KNIGHT-FORBES
Owner
631-926-3025
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-10-07
Last Update Date
2021-02-18
Business Address
ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC
455 ALBANY AVE UNIT C
AMITYVILLE, NY 11701-1193
Phone number: 631-926-3025
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Mailing Address
ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC
455 ALBANY AVE UNIT C
AMITYVILLE, NY 11701-1193
Phone number: 631-926-3025
Copy
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