Individual
AVA-JOAN HINKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
22136 104TH AVE, QUEENS VILLAGE, NY 11429-2135
(917) 754-0527
Mailing address
22136 104TH AVE, QUEENS VILLAGE, NY 11429-2135
(917) 754-0527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
555940
NY
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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