Individual
MRS. JOO YOUNG DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6673
Mailing address
71 SHAFTER AVE, ALBERTSON, NY 11507-1822
(917) 683-4441
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430703-1
NY
Other
Enumeration date
11/02/2013
Last updated
12/18/2013
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