Individual
EDLINE ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
17900 LINDEN BLVD, JAMAICA, NY 11425-0001
(718) 526-1000
Mailing address
215 FRANKEL BLVD, MERRICK, NY 11566-4796
(516) 528-5186
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403748-01
NY
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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