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1679876007
LISA ANTONIA STACCONE
NEW YORK, NY
NPI
1679876007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305420)
Enumeration Date
2010-12-07
Last Update Date
2021-04-02
Business Address
LISA ANTONIA STACCONE
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 212-263-6600
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Mailing Address
LISA ANTONIA STACCONE
53 SINTSINK DR E
PORT WASHINGTON, NY 11050-2043
Phone number:
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