Individual
JUSTINEANN BATILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4119 CORPORAL KENNEDY ST # 1, BAYSIDE, NY 11361-2757
(646) 436-0505
Mailing address
4119 CORPORAL KENNEDY ST # 1, BAYSIDE, NY 11361-2757
(646) 436-0505
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
311988
NY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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