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1790030823
JOHN DONOFRIO
RIVERHEAD, NY
NPI
1790030823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY 306118)
Enumeration Date
2012-07-15
Last Update Date
2012-07-15
Business Address
JOHN DONOFRIO NP
792 HARRISON AVE
RIVERHEAD, NY 11901-2744
Phone number: 631-591-3120
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Mailing Address
JOHN DONOFRIO NP
792 HARRISON AVE
RIVERHEAD, NY 11901-2744
Phone number: 631-591-3120
Copy
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