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Organization

PRIMARY CARE NP IN FAMILY HEALTH AND ADULT HEALTH OF NEW YORK PLLC

Active
Other names
Primary Care Nurse Practitioners of New York
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIRGINIA NELSON NP (OWNER)
(718) 980-1553
Entity
Organization

Contact information

Practice address
130 ROSE AVE, STATEN ISLAND, NY 10306-2241
(718) 980-1553
Mailing address
130 ROSE AVE, STATEN ISLAND, NY 10306-2241
(718) 980-1553

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03129513
NY
01
A100000571
MEDICARE PTAN
NY
Enumeration date
09/22/2008
Last updated
02/02/2011
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