Individual
MRS. CAITLIN L. HIDASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3978 45TH ST, SUNNYSIDE, NY 11104-2104
(718) 651-4974
Mailing address
3978 45TH ST, SUNNYSIDE, NY 11104-2104
(718) 651-4974
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305520-1
NY
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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