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Individual

LILY MASTRONARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-5419
(973) 422-0110
(973) 740-9007
Mailing address
127 ROCK HILL RD, SPRING VALLEY, NY 10977-5357
(845) 352-6729

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
001008
NY
314000000X
Skilled Nursing Facility
Primary
46TA09075700
NJ

Other

Enumeration date
12/09/2009
Last updated
12/09/2009
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