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1790200459
STACY SANICOLA
STATEN ISLAND, NY
NPI
1790200459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342171)
Enumeration Date
2017-08-03
Last Update Date
2023-04-11
Business Address
STACY SANICOLA Nurse Practitioner
477 PHILIP AVE
STATEN ISLAND, NY 10312-5818
Phone number: 917-295-3957
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Mailing Address
STACY SANICOLA Nurse Practitioner
73 GERVIL ST
STATEN ISLAND, NY 10309-4230
Phone number: 917-295-3957
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