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1881309995
IVY MUTIBURA
ELMONT, NY
NPI
1881309995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F311010-01)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
Ms. IVY MUTIBURA NP
257 DOHERTY AVE
ELMONT, NY 11003-3017
Phone number: 516-851-7445
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Mailing Address
Ms. IVY MUTIBURA NP
257 DOHERTY AVE
ELMONT, NY 11003-3017
Phone number: 347-275-0200
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