# BRONX NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407747926
- **Authorized official:** JEAN MARIE (EMPLOYEE)
- **Authorized official phone:** (631) 867-2695

## Contact information

- **Practice address:** 3022 MERRICK RD, WANTAGH, NY 11793-4320
- **Practice address phone:** (631) 867-2695
- **Mailing address:** 3022 MERRICK RD, WANTAGH, NY 11793-4320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/12/2025
- **Last updated:** 07/12/2025