Individual
OPHIA SEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
240 COZINE AVE, APT 6H, BROOKLYN, NY 11207-8871
(718) 924-6445
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
307060
NY
Other
Enumeration date
01/26/2016
Last updated
02/01/2016
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