Individual
ENJOLI MCQUEEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1167 NOSTRAND AVE, BROOKLYN, NY 11225-5417
(718) 778-0198
(718) 221-8169
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308023-1
NY
363LG0600X
Gerontology Nurse Practitioner
1-134290
AL
363LW0102X
Women's Health Nurse Practitioner
1-134290
AL
363LW0102X
Women's Health Nurse Practitioner
F421268-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
02/16/2016
Last updated
12/20/2016
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