Individual
MISS NATALIE ANGELIQUE FADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3069 42ND ST, ASTORIA, NY 11103-3054
(917) 344-9758
Mailing address
3069 42ND ST APT 3, ASTORIA, NY 11103-3054
(917) 344-9758
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309856
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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