Individual
AVA JEAN BUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
(646) 394-9996
Mailing address
409 ST PAULS AVE, STATEN ISLAND, NY 10304-2127
(917) 921-4531
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407973
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
01/14/2026
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