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Individual

MISS LATEEMA NASHAE QUICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 LAKE AVE, STATEN ISLAND, NY 10303-2629
(718) 816-3411
(718) 816-3488
Mailing address
400 LAKE AVE, STATEN ISLAND, NY 10303-2629
(718) 816-3411
(718) 816-3488

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/15/2013
Last updated
01/05/2024
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