Individual
GISHA ANTO PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2488 GRAND CONCOURSE, BRONX, NY 10458-5203
(718) 395-4144
Mailing address
566 N 7TH ST, NEW HYDE PARK, NY 11040-3029
(516) 713-4591
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309444
NY
Other
Enumeration date
06/03/2020
Last updated
07/28/2021
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