Individual
MRS. JENNIFER EVANS MALHEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1991 MARCUS AVE, NEW HYDE PARK, NY 11042-2057
(718) 484-5051
Mailing address
516 BERNARD ST, EAST MEADOW, NY 11554-3944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308340
NY
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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