Individual
PENELOPE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305-3498
(718) 226-9000
Mailing address
180 REID AVE, ROCKAWAY POINT, NY 11697-1921
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381933-1
NY
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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