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1972751691
THEODORA MONTELL CROSS
STATEN ISLAND, NY
NPI
1972751691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F304508)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
Ms. THEODORA MONTELL CROSS RN,MS,CNS,ANP-BC,CDE
79 COTTAGE PL
STATEN ISLAND, NY 10302-1522
Phone number: 718-816-8423
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Mailing Address
Ms. THEODORA MONTELL CROSS RN,MS,CNS,ANP-BC,CDE
79 COTTAGE PL
STATEN ISLAND, NY 10302-1522
Phone number: 718-816-8423
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