Individual
MISS FRANCE IRMA JASMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 ROCKAWAY TPKE, LAWRENCE, NY 11559-1029
(516) 871-3003
Mailing address
595 GARFIELD RD, NORTH BALDWIN, NY 11510-1003
(516) 263-8156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310004-01
NY
363LG0600X
Gerontology Nurse Practitioner
F310004-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F310004-01
STATE OF NEW YORK
NY
Enumeration date
12/02/2020
Last updated
12/02/2020
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