Individual
MRS. AVESTA MIRIAM KHURSAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
32 THORNEY AVE, HUNTINGTON STATION, NY 11746-3253
(212) 233-5032
Mailing address
32 THORNEY AVE, HUNTINGTON STATION, NY 11746-3253
(516) 316-4689
(925) 281-2589
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401883
NY
Other
Enumeration date
08/31/2015
Last updated
10/16/2018
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