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Individual

MS. LAURA RIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
119-121 WEST 124TH STREET, NEW YORK, NY 10027
(212) 865-2010
Mailing address
22 CHAPEL ST, BROOKLYN, NY 11201-1903

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305311-1
NY

Other

Enumeration date
05/12/2010
Last updated
05/01/2013
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