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Organization
PATOIS REPUBLIC LLC
Active
Organization
PATOIS REPUBLIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMANE HINES (OWNER)
(914) 267-5847
Entity
Organization
Contact information
Practice address
909 MIDLAND AVE, YONKERS, NY 10704-1092
(914) 267-5847
Mailing address
737 WARBURTON AVE, YONKERS, NY 10701-1555
(914) 267-5847
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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