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Organization

NURSE PRACTITIONER ADULT AND FAMILY

Active
Other names
Fulton Avenue HealthCare
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE S HARPER ANP (CO-OWNER)
(516) 385-2920
Entity
Organization

Contact information

Practice address
72 FULTON AVE, SUITE 300, HEMPSTEAD, NY 11550-3651
(516) 385-2920
(516) 385-2293
Mailing address
72 FULTON AVE, SUITE 300, HEMPSTEAD, NY 11550-3651
(516) 385-2920
(516) 385-2293

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
F300692
NY

Other

Enumeration date
11/21/2007
Last updated
06/23/2008
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