Organization
LIVING WATER NP IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTHER ROMILUS (FAMILY NURSE PRACTITIONER)
(917) 513-7462
Entity
Organization
Contact information
Practice address
78 MARGARET DR, VALLEY STREAM, NY 11580-1741
(917) 513-7462
Mailing address
78 MARGARET DR, VALLEY STREAM, NY 11580-1741
(917) 513-7462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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