Individual
PAZ MENJIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1991 LAKEVILLE RD, NEW HYDE PARK, NY 11040-1972
(516) 428-9821
Mailing address
1991 LAKEVILLE RD, NEW HYDE PARK, NY 11040-1972
(516) 428-9821
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F308833-1
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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