Individual
ANSU MARIAM ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
157 05 CROSS BAY BLVD, HOWARD BEACH, NY 11414
(718) 849-3340
Mailing address
157 05 CROSS BAY BLVD, HOWARD BEACH, NY 11414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346692-01
NY
Other
Enumeration date
12/10/2020
Last updated
01/10/2023
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