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1710040357
ELLEN PETERSON LAURIA
NEW YORK, NY
NPI
1710040357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381659)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- ELLEN PETERSON LAURIA CPNP
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-265-5062
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Mailing Address
-- ELLEN PETERSON LAURIA CPNP
47 HERITAGE CT
HILLSDALE, NJ 07642-1226
Phone number:
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