Individual
ANASTASIA JOY GERVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
33 OAKTREE LN, LEVITTOWN, NY 11756-1520
(631) 334-2867
Mailing address
33 OAKTREE LN, LEVITTOWN, NY 11756-1520
(631) 334-2867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274186
NY
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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