Individual
MS. YVONNE THERESA BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/GNP
Contact information
Practice address
41 BIRCH LN, MASSAPEQUA PARK, NY 11762-3910
(516) 308-5100
Mailing address
24 ROBERTS ST, FARMINGDALE, NY 11735-5042
(516) 293-0051
(516) 293-0054
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
251802-01
NY
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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