Organization
NEW YORK NP FAMILY HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY LUCIUS FNP-BC (OWNER)
(901) 361-3086
Entity
Organization
Contact information
Practice address
2563 33RD ST APT 2F, ASTORIA, NY 11102-1248
(901) 361-3086
Mailing address
2563 33RD ST APT 2F, ASTORIA, NY 11102-1248
(901) 361-3086
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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