Individual
BETTY FLORE JASON-JOACHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(516) 582-8090
Mailing address
2 CUTTING ST, HUNTINGTON, NY 11743-5522
(631) 629-4198
(516) 582-8090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333628
NY
363LP2300X
Primary Care Nurse Practitioner
F333628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/02/2006
Last updated
11/14/2019
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