Organization
NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE GABRIEL N.P. (SECRETARY)
(917) 915-2866
Entity
Organization
Contact information
Practice address
169 S MAIN STREET, SUITE 352, NEW CITY, NY 10956
(844) 482-8677
(718) 763-1203
Mailing address
169 S MAIN STREET, SUITE 352, NEW CITY, NY 10956
(844) 482-8677
(718) 763-1203
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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