Individual
NANCY DIEUDONNE GUSTAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MERTON AVE, LYNBROOK, NY 11563-3807
(516) 612-3246
Mailing address
215 W POPLAR ST, FLORAL PARK, NY 11001-3311
(718) 316-8827
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
508552
NY
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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