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Individual

BINTU GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1477 HYLAN BLVD, STATEN ISLAND, NY 10305-1906
(718) 979-6900
(718) 979-6940
Mailing address
15 SANDRA LN, 19A, STATEN ISLAND, NY 10304-3656
(718) 720-0769

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296558
NY

Other

Enumeration date
06/02/2010
Last updated
06/02/2010
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