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Individual

ZULEIKA TAVAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
155 E 168TH ST APT 3B, BRONX, NY 10452-7921
(347) 849-3303

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405549
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F421410
NY

Other

Enumeration date
11/23/2019
Last updated
12/05/2024
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