Individual
FAITH M SELCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4869
(845) 368-8500
(845) 368-8460
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5809
CT
363L00000X
Nurse Practitioner
Primary
F307996-1
NY
363LG0600X
Gerontology Nurse Practitioner
5809
CT
Other
Enumeration date
10/13/2014
Last updated
11/11/2020
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