Individual
MARIA FE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-5111
Mailing address
192 MORNINGSIDE RD, PARAMUS, NJ 07652-1600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431652
NY
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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