Individual
VINA CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 AMSTERDAM AVE FL 4, NEW YORK, NY 10031-4611
(212) 862-0054
Mailing address
30 MESEROLE ST APT 2, BROOKLYN, NY 11206-3192
(214) 868-6443
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383121
NY
363LP0200X
Pediatric Nurse Practitioner
383121
TX
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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