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1952909012
MARINA BYSHOVETS
STATEN ISLAND, NY
NPI
1952909012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 383190)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
MARINA BYSHOVETS
164 ADMIRALTY LOOP
STATEN ISLAND, NY 10309-3964
Phone number: 347-902-9375
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Mailing Address
MARINA BYSHOVETS
164 ADMIRALTY LOOP
STATEN ISLAND, NY 10309-3964
Phone number: 347-902-9375
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