Individual
MISS AVAGENE A HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
204 BENSON AVE, ELMONT, NY 11003-2317
(516) 395-1225
Mailing address
204 BENSON AVE, ELMONT, NY 11003-2317
(516) 395-1225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
633144
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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