Individual
JOANNA M MIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 470-5304
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
586552-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F421115-1
NY
Other
Enumeration date
01/16/2014
Last updated
09/26/2016
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