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1790447688
LISA PEREIRA
PORT JEFFERSON, NY
NPI
1790447688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F310362)
Enumeration Date
2021-10-08
Last Update Date
2024-02-06
Business Address
LISA PEREIRA AGNP-C
70 N COUNTRY RD STE 102
PORT JEFFERSON, NY 11777-2161
Phone number: 631-938-6999
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Mailing Address
LISA PEREIRA AGNP-C
70 N COUNTRY RD STE 102
PORT JEFFERSON, NY 11777-2161
Phone number: 631-938-6999
Copy
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