Organization
NEW AGE AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASPAR ROSARIO N.P. (NURSE PRACTITIONER)
(844) 633-5686
Entity
Organization
Contact information
Practice address
161 MADISON AVE, SUITE 9SE, NEW YORK, NY 10016-5421
(844) 633-5686
(844) 633-5686
Mailing address
161 MADISON AVE, SUITE 9SE, NEW YORK, NY 10016-5421
(844) 633-5686
(844) 633-5686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00162800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
304234
NY
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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