Individual
GEORGETTE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 STEELE BLVD, BALDWIN, NY 11510-4440
(718) 930-0680
Mailing address
971 STEELE BLVD, BALDWIN, NY 11510-4440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
669458
NY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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