Organization
TRINIDAD D AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINIDAD D AGTARAP GNP-BC (MANAGER)
(347) 507-1197
Entity
Organization
Contact information
Practice address
7116 34TH AVE APT 2B, JACKSON HEIGHTS, NY 11372-1016
(347) 507-1197
Mailing address
7116 34TH AVE APT 2B, JACKSON HEIGHTS, NY 11372-1016
(347) 507-1197
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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