Individual
MRS. WISELINE MAINGRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7660
Mailing address
1414 LIBERTY AVE, NORTH BELLMORE, NY 11710-2429
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421309-1
NY
Other
Enumeration date
12/27/2021
Last updated
03/07/2023
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