Individual
MS. MARY ROSE YMAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1486 DEER PARK AVE, BABYLON, NY 11703-1214
(929) 455-9781
Mailing address
6861 YELLOWSTONE BLVD, APT. 311, FOREST HILLS, NY 11375-9403
(917) 379-6700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381971
NY
Other
Enumeration date
11/19/2010
Last updated
09/12/2022
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