Individual
RALPH EDOUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
19105 JAMAICA AVE, HOLLIS, NY 11423-2527
(917) 907-1455
Mailing address
19105 JAMAICA AVE, HOLLIS, NY 11423-2527
(917) 907-1455
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F305341-1
NY
Other
Enumeration date
05/27/2011
Last updated
02/17/2016
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