Individual
LOUQUETA CORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(718) 559-0555
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
(718) 559-0555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402684
NY
Other
Enumeration date
07/05/2018
Last updated
10/09/2019
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