Individual
IDANIA FLETE-OLMEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(212) 639-6948
Mailing address
1275 YORK AVE, NEW YORK, NY 10021-6007
(570) 839-8512
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304069
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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