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1740622323
NICOLE IMBASCIANI
STONY BROOK, NY
NPI
1740622323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 30 306185)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
-- NICOLE IMBASCIANI NP
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-1066
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Mailing Address
-- NICOLE IMBASCIANI NP
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-1066
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