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1811383599
IDAMIS VASSALL
BROOKLYN, NY
NPI
1811383599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: NY 35350364)
Enumeration Date
2015-04-09
Last Update Date
2015-04-09
Business Address
Mrs. IDAMIS VASSALL NP
4802 10TH AVENUE
BROOKLYN, NY 11219
Phone number: 718-283-6000
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Mailing Address
Mrs. IDAMIS VASSALL NP
4802 10TH AVENUE
BROOKLYN, NY 11219
Phone number:
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