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1609155423
ALEXANDRA DEREVNUK
NEW YORK, NY
NPI
1609155423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 332437)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
-- ALEXANDRA DEREVNUK FNP
17 E 102ND ST 2ND FLOOR EHS
NEW YORK, NY 10029-5204
Phone number: 212-824-7690
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Mailing Address
-- ALEXANDRA DEREVNUK FNP
1425 MADISON AVE L2-92
NEW YORK, NY 10029-6514
Phone number: 212-659-9450
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