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1962831537
MINNA PARK
FLUSHING, NY
NPI
1962831537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 337877)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- MINNA PARK NP
16410 NORTHERN BLVD SUITE 206
FLUSHING, NY 11358-2677
Phone number: 718-321-2940
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Mailing Address
-- MINNA PARK NP
216 W 100TH ST APT 920
NEW YORK, NY 10025-5018
Phone number: 347-768-1551
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