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Organization
MV NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization
MV NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Other names
MV MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VITSENTZOS NP (DIRECTOR)
(516) 790-4227
Entity
Organization
Contact information
Practice address
104-08 METROPOLITAN AVE, FOREST HILL, NY 11375
(516) 790-4227
Mailing address
14 RIVERDALE AVE, MASSAPEQUA, NY 11758-7729
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/09/2024
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