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Individual

MS. BETSY TOMY PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
450 LAKEVILLE ROAD, CENTER FOR ADVANCED MEDICINE AMBULATORY SURGERY CENTER, LAKE SUCCESS, NY 11042-1034
(516) 734-8070
Mailing address
8125 265TH ST, FLORAL PARK, GLEN OAKS, NY 11004-1534
(718) 343-0979

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305160-1
NY

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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