Individual
MS. MARIA VITSENTZOS IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6446
(516) 562-6059
Mailing address
84 CHESTNUT AVE, FLORAL PARK, NY 11001-2420
(516) 326-8645
(516) 562-6059
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303049
NY
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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