Individual
CANDACE ALEXIS REUBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3670
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
013095
CT
Other
Enumeration date
08/08/2013
Last updated
04/13/2024
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