Individual
PETRINA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN AGCNS
Contact information
Practice address
179-00 LINDEN BLVD, JAMAICA, NY 11413
(718) 526-1000
Mailing address
23822 116TH RD, ELMONT, NY 11003-4008
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
539252
NY
Other
Enumeration date
12/04/2020
Last updated
06/06/2022
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