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1831406867
INGE DECROSTA
MINEOLA, NY
NPI
1831406867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F336300-1)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
-- INGE DECROSTA
216 1ST ST
MINEOLA, NY 11501-3901
Phone number: 516-741-0570
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Mailing Address
-- INGE DECROSTA
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-741-0570
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