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1720861438
ELLIS PRATHER
ASTORIA, NY
NPI
1720861438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: NY 421714)
Enumeration Date
2023-08-16
Last Update Date
2024-01-24
Business Address
ELLIS PRATHER NP
2818 ASTORIA BLVD
ASTORIA, NY 11102-4751
Phone number: 917-410-6905
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Mailing Address
ELLIS PRATHER NP
36 1ST AVE
BOSTON, MA 02129-4557
Phone number: 413-687-5911
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