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1679225502
LATISHA MYRIE
BRONX, NY
NPI
1679225502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403968)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
LATISHA MYRIE
1309 FULTON AVE FL 2
BRONX, NY 10456-2403
Phone number: 718-546-3265
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Mailing Address
LATISHA MYRIE
75-20 ASTORIA BLVD STE 250
EAST ELMHURST, NY 11370-1131
Phone number: 718-546-3265
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