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1770133423
IVAN LEONIDAS GIANNOU
WEST BRENTWOOD, NY
NPI
1770133423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY 669877)
Enumeration Date
2019-09-15
Last Update Date
2019-09-23
Business Address
Mr. IVAN LEONIDAS GIANNOU RN
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717-1019
Phone number: 631-761-3500
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Mailing Address
Mr. IVAN LEONIDAS GIANNOU RN
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717-1019
Phone number: 646-644-6199
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