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1780190744
MEDINA MANASHIROVA
STATEN ISLAND, NY
NPI
1780190744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 521717)
Enumeration Date
2017-12-28
Last Update Date
2017-12-28
Business Address
MEDINA MANASHIROVA RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2600
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Mailing Address
MEDINA MANASHIROVA RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2600
Copy
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