Organization
SILVERLIFE NP IN ADULT HEALTH P.C.
Active
Other names
Silverlife NP In Adult Health P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LEE NP (NP/PRESIDENT)
(917) 566-7645
Entity
Organization
Contact information
Practice address
5836 254TH ST, LITTLE NECK, NY 11362-2124
(917) 566-7645
Mailing address
3618 171ST ST, FLUSHING, NY 11358-2209
(917) 566-7645
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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