Individual
NITA ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
59 SUNSET AVE, STATEN ISLAND, NY 10314-5038
(646) 318-9312
Mailing address
59 SUNSET AVE, STATEN ISLAND, NY 10314-5038
(646) 318-9312
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
341197
NY
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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