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1629846001
SANDY BARUSHKA TASHTASH
BRONX, NY
NPI
1629846001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351961)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
SANDY BARUSHKA TASHTASH
818 HOME ST APT 6T
BRONX, NY 10459-2221
Phone number: 347-322-1304
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Mailing Address
SANDY BARUSHKA TASHTASH
818 HOME ST APT 6T
BRONX, NY 10459-2221
Phone number: 347-322-1304
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