Individual
ANNE CHERISME JUSTAFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1934 COMMONWEALTH AVE, MERRICK, NY 11566-3430
(347) 451-1865
Mailing address
1934 COMMONWEALTH AVE, MERRICK, NY 11566-3430
(347) 451-1865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785488
NY
363LF0000X
Family Nurse Practitioner
Primary
351221
NY
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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