Individual
MRS. CASSANDRA ALTAGRACIA MAINGRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1123 ALBERT RD, N BELLMORE, NY 11710-2747
(516) 850-5512
Mailing address
1123 ALBERT RD, N BELLMORE, NY 11710-2747
(516) 850-5512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640846-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F347366-01
NY
Other
Enumeration date
04/05/2012
Last updated
02/19/2023
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