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1750054375
STEPHANIE GLAVAN
NEW YORK, NY
NPI
1750054375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347417)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
STEPHANIE GLAVAN
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-2000
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Mailing Address
STEPHANIE GLAVAN
4 S GATE
EAST NORTHPORT, NY 11731-3102
Phone number: 631-662-9326
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