Individual
ELISABETH LAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309568
NY
Other
Enumeration date
08/30/2021
Last updated
10/29/2022
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