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1902276959
ELLENA BAVARO
LONG ISLAND CITY, NY
NPI
1902276959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 456565)
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- ELLENA BAVARO
2811 QUEENS PLZ N
LONG ISLAND CITY, NY 11101-4008
Phone number: 718-391-8300
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Mailing Address
-- ELLENA BAVARO
142 SHIEL AVE
STATEN ISLAND, NY 10309-4280
Phone number: 718-757-4817
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