Individual
DESIREE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 SEAVIEW AVE, STATEN ISLAND, NY 10305-3419
(718) 704-4561
Mailing address
23 ORCHARD LN, STATEN ISLAND, NY 10312-6121
(718) 704-4561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343506
NY
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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