Individual
JEAN WANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
219 BEVERLY RD, HEMPSTEAD, NY 11550-5205
(516) 610-7847
Mailing address
219 BEVERLY RD, HEMPSTEAD, NY 11550-5205
(516) 610-7847
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306163
NY
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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