Individual
JUDITH M PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
570 GRAND ST, H 1105, NEW YORK, NY 10002-4379
(212) 982-1160
Mailing address
570 GRAND STREET, H 1105, NEW YORK, NY 10002
(212) 982-1160
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F3401711
NY
Other
Enumeration date
12/11/2011
Last updated
12/11/2011
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