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Individual

KARON NICHOLA GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
101-33 124 STREET, SOUTH RICHMOND HILL, NY 11419
(718) 441-5493
Mailing address
10133 124TH ST, QUEENS, SOUTH RICHMOND HILL, NY 11419-2101
(718) 441-5493

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
489363
NY

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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