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Individual

ALTAGRACIA LENEUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
508 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 425-2655
(845) 425-2696
Mailing address
18 PALISADES CT, POMONA, NY 10970-2708

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
541464
NY

Other

Enumeration date
08/18/2013
Last updated
08/18/2013
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