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Individual
MS. JUSTINE MARIE AVISSATO
Active
Individual
MS. JUSTINE MARIE AVISSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
571480
NY
363LF0000X
Family Nurse Practitioner
Primary
F348745
NY
Other
Enumeration date
10/04/2017
Last updated
10/31/2022
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