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Individual

ANDREA PERUGGIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
859 S 7TH ST, LINDENHURST, NY 11757-5516
(347) 661-1605
Mailing address
859 S 7TH ST, LINDENHURST, NY 11757-5516

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1181294
NY

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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