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1740779206
ELISA JEAN MARY
ELMHURST, NY
NPI
1740779206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 308410)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
ELISA JEAN MARY NP
87-08 JUSTICE AVE SUITE CS
ELMHURST, NY 11373
Phone number: 718-779-9599
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Mailing Address
ELISA JEAN MARY NP
87-08 JUSTICE AVE SUITE CS
ELMHURST, NY 11373
Phone number: 718-779-9599
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