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Organization
ISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Active
Organization
ISLAND NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA LANZA NP (OWNER)
(718) 980-6103
Entity
Organization
Contact information
Practice address
3700 RICHMOND AVE, STATEN ISLAND, NY 10312-3836
(718) 980-6103
Mailing address
470 MASON AVE, STATEN ISLAND, NY 10305-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334736
NY
Other
Enumeration date
07/22/2010
Last updated
06/16/2011
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