Individual
PATRICE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16040 78TH RD STE 100, FRESH MEADOWS, NY 11366-1969
(888) 855-2584
(888) 855-1622
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-5326
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F306820
NY
363LG0600X
Gerontology Nurse Practitioner
306820
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
306820
NY
Other
Enumeration date
06/19/2014
Last updated
04/28/2025
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