Individual
MR. FRANTZ DORESTANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CWOCN AGPCNP-BC
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(646) 240-9067
Mailing address
3382 OCEAN HARBOR DR, OCEANSIDE, NY 11572-3534
(646) 240-9067
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
19995
NC
163WE0900X
Enterostomal Therapy Registered Nurse
19995
NC
163WW0000X
Wound Care Registered Nurse
19995
NC
163WX1500X
Ostomy Care Registered Nurse
19995
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
AG10230069
NY
Other
Enumeration date
10/16/2023
Last updated
02/29/2024
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