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1720857014
DOROTHY THERESA GRANDINO
RIVERHEAD, NY
NPI
1720857014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 311646)
Enumeration Date
2023-12-27
Last Update Date
2023-12-27
Business Address
DOROTHY THERESA GRANDINO
1300 ROANOKE AVE # ICU
RIVERHEAD, NY 11901-2031
Phone number: 516-658-2494
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Mailing Address
DOROTHY THERESA GRANDINO
1300 ROANOKE AVE
FLANDERS, NY 11901-2031
Phone number: 631-548-6000
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