Individual
MS. LISSETTE ESTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.N.P., P.N.P.
Contact information
Practice address
ONE GUSTAVE L LEVY PL, BOX 1497, NEW YORK, NY 10029-6574
(212) 241-7055
(212) 860-3316
Mailing address
1 GUSTAVE L LEVY PL # 1497, NEW YORK, NY 10029-6504
(212) 241-6947
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F303838-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381035-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02339935
—
NY
01
—
1730419300
NPI
—
Enumeration date
01/05/2010
Last updated
04/25/2023
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