Individual
MS. MINERVA ALTAGRACIA UTATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-5577
(212) 731-6024
Mailing address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-5577
(212) 731-6024
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304972-1
NY
Other
Enumeration date
08/25/2008
Last updated
11/02/2012
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