Individual
NADEGE ST,HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
837 N WILLIAM ST, NORTH BALDWIN, NY 11510-1436
(516) 732-6026
Mailing address
837 N WILLIAM ST, NORTH BALDWIN, NY 11510-1436
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3064121
NY
Other
Enumeration date
05/11/2017
Last updated
04/02/2021
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