Individual
MRS. LETICIA NAZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3001 EXPRESSWAY DRIVE NORTH, SUITE 200 B, ISLANDIA, NY 11749
(631) 444-3497
(631) 444-1530
Mailing address
3001 EXPRESSWAY DRIVE NORTH, SUITE 200 B, ISLANDIA, NY 11749
(631) 444-3497
(631) 444-1530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3036481
NY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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