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Organization
STAY HEALTHY, NP IN ADULT HEALTH PC
Active
Organization
STAY HEALTHY, NP IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID KOL NP (OWNER)
(718) 850-6345
Entity
Organization
Contact information
Practice address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4896
Mailing address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304465
NY
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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