Individual
JUDITH SEVERIN AVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8268 164TH ST STE P113, JAMAICA, NY 11432-1104
(718) 883-4500
(718) 883-6106
Mailing address
8268 164TH ST STE P113, JAMAICA, NY 11432-1104
(718) 883-4500
(718) 883-6106
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350463-01
NY
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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