Organization
NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENJOLI MCQUEEN KING NP (PROVIDER)
(718) 569-7486
Entity
Organization
Contact information
Practice address
941 FOREST AVE, STATEN ISLAND, NY 10310-2412
(718) 569-7486
Mailing address
941 FOREST AVE, STATEN ISLAND, NY 10310-2412
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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