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1740957778
SUPRIYA SHAM VAIDYA
NEW YORK, NY
NPI
1740957778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347695)
Enumeration Date
2021-08-26
Last Update Date
2021-12-06
Business Address
SUPRIYA SHAM VAIDYA FNP-BC, MSN, RN
161 FORT WASHINGTON AVE
NEW YORK, NY 10032-3729
Phone number: 877-426-5637
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Mailing Address
SUPRIYA SHAM VAIDYA FNP-BC, MSN, RN
630 W 168TH ST # 4
NEW YORK, NY 10032-3725
Phone number:
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