Individual
MS. JUSTINE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
198 E 121ST ST, NEW YORK, NY 10035-3523
(212) 801-3300
Mailing address
660 RIVERSIDE DR APT 1B, NEW YORK, NY 10031-5920
(617) 840-9832
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308767
NY
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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