Individual
MR. EDMUND C NEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1111 MARCUS AVE, NEW HYDE PARK, NY 11042-1221
(917) 940-1980
Mailing address
170 E NEW YORK AVE, VALLEY STREAM, NY 11580-6015
(917) 940-1980
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
308605
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
308605
NY
Other
Enumeration date
04/01/2018
Last updated
11/27/2024
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