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Individual

MRS. PRECILLIA YOLANDE FAIRMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 255-8400
(516) 255-8485
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 255-8400
(516) 255-8485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F335874
NY

Other

Enumeration date
12/30/2009
Last updated
10/18/2011
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