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1902121858
ELVIA ELIZABETH MANRIQUE
MIDDLE ISLAND, NY
NPI
1902121858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F336031-1)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
Miss ELVIA ELIZABETH MANRIQUE FNP
35 LONGWOOD ROAD
MIDDLE ISLAND, NY 11953
Phone number: 631-924-1000
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Mailing Address
Miss ELVIA ELIZABETH MANRIQUE FNP
354 BROADWAY
PORT JEFFERSON STATION, NY 11776
Phone number: 631-473-7518
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