STACEY MOMO

LONG ISLAND CITY, NY
NPI1700294006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: NY  672582)
Enumeration Date2014-07-30
Last Update Date2014-07-30
Business Address
-- STACEY MOMO RN
2811 QUEENS PLZ N
LONG ISLAND CITY, NY 11101-4008
Phone number: 718-391-8300
Mailing Address
-- STACEY MOMO RN
18 LATOURETTE LN
STATEN ISLAND, NY 10314-6363
Phone number:
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