Individual
LILY NAMANWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
49 FOREST RD, MONROE, NY 10950-2923
(845) 782-3242
Mailing address
3671 HUDSON MANOR TER APT 6AB, BRONX, NY 10463-1137
(347) 572-4932
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383034
NY
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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