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1902279029
LISA AMBROSE
EAST SETAUKET, NY
NPI
1902279029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307463-1)
Enumeration Date
2015-11-11
Last Update Date
2016-01-25
Business Address
-- LISA AMBROSE NP
4 TECHNOLOGY DR SUITE 120
EAST SETAUKET, NY 11733-4080
Phone number: 631-246-8289
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Mailing Address
-- LISA AMBROSE NP
4 TECHNOLOGY DR SUITE 120
EAST SETAUKET, NY 11733-4080
Phone number: 631-246-8289
Copy
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