Individual
GENIQUE STANISLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
360 ESSEX ST STE 401, HACKENSACK, NJ 07601-8566
(201) 996-1140
Mailing address
360 ESSEX ST STE 401, HACKENSACK, NJ 07601-8566
(201) 996-1140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00157200
NJ
Other
Enumeration date
12/08/2010
Last updated
11/13/2019
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