Organization
ALTIMATE NP HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BOATENG-WILSON FNP (OWNER)
(917) 488-7910
Entity
Organization
Contact information
Practice address
547 NORTH AVE, NEW ROCHELLE, NY 10801-2601
(917) 488-7910
Mailing address
3403 ROPES AVE, BRONX, NY 10475-1016
(917) 488-7910
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
04/17/2023
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