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1750685830
TISHAWA GREEN
ELMONT, NY
NPI
1750685830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 22 590328)
Enumeration Date
2011-01-04
Last Update Date
2011-01-04
Business Address
-- TISHAWA GREEN
75 WARWICK RD
ELMONT, NY 11003-1427
Phone number: 718-344-2871
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Mailing Address
-- TISHAWA GREEN
75 WARWICK RD
ELMONT, NY 11003-1427
Phone number: 718-344-2871
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