Organization
PERSONAL CARE NP ADULT HEALTH PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH EDOUARD ANP (NURSE PRACTIONER)
(718) 217-7111
Entity
Organization
Contact information
Practice address
19105 JAMAICA AVE, HOLLIS, NY 11423-2527
(718) 217-7111
(718) 217-7113
Mailing address
19105 JAMAICA AVE, HOLLIS, NY 11423-2527
(718) 217-7111
(718) 217-7113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3053411
NY
Other
Enumeration date
02/12/2016
Last updated
10/07/2016
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