Individual
MRS. JULIE N VAN-LARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
321 ROCKAWAY PKWY, VALLEY STREAM, NY 11580-3447
(347) 661-0006
Mailing address
321 ROCKAWAY PKWY, VALLEY STREAM, NY 11580-3447
(347) 661-0006
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9424788
NY
Other
Enumeration date
10/14/2016
Last updated
12/26/2023
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