Individual
MRS. JEANNE VASILAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1101
(516) 465-5219
(516) 465-5299
Mailing address
3994 PARK AVE, SEAFORD, NY 11783-2338
(516) 785-2063
(516) 465-5299
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380403
NY
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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