Individual
JOVITA KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1999 MARCUS AVE, SUITE M18, NEW HYDE PARK, NY 11042-1017
(516) 466-6953
Mailing address
1999 MARCUS AVE, SUITE M18, NEW HYDE PARK, NY 11042-1017
(516) 466-6953
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382188
NY
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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