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1831713163
DAVE AMARASENA
STATEN ISLAND, NY
NPI
1831713163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F345844-01)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
Mr. DAVE AMARASENA NP
745 TYSENS LN
STATEN ISLAND, NY 10306-5621
Phone number: 718-667-3234
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Mailing Address
Mr. DAVE AMARASENA NP
745 TYSENS LN
STATEN ISLAND, NY 10306-5621
Phone number: 718-667-3234
Copy
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