Individual
MARYBETH JURICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7164 168TH ST, FLUSHING, NY 11365-3242
(718) 591-1000
(718) 591-8100
Mailing address
622 3RD AVE, NEW YORK, NY 10017-6707
(212) 490-7400
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
327227-01
NY
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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