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Individual

DEBORAH BISOGNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1102 VICTORY BLVD, STATEN ISLAND, NY 10301-3622
(718) 447-5072
Mailing address
65 LAKE VIEW BLVD, EDISON, NJ 08817-5420
(908) 307-8424

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305159-1
NY

Other

Enumeration date
07/08/2009
Last updated
07/08/2009
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