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1598392961
RADIAA MOODY
STATEN ISLAND, NY
NPI
1598392961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337950)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
RADIAA MOODY
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 800-427-4673
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Mailing Address
RADIAA MOODY
1023 POST AVE
STATEN ISLAND, NY 10302-1839
Phone number: 646-256-8665
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