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Individual

MS. NORVY JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10607 215TH ST, QUEENS VILLAGE, NY 11429-1517
(718) 465-2180
Mailing address
10607 215TH ST, QUEENS VILLAGE, NY 11429-1517
(718) 465-2180

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
693637
NY
363L00000X
Nurse Practitioner
Primary
F403116
NY
363LF0000X
Family Nurse Practitioner
403116-1
NY

Other

Enumeration date
11/21/2014
Last updated
07/27/2021
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