Individual
MISS REBECCA AYANA URENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
110 MAIN ST, MINEOLA, NY 11501-4000
(516) 747-5644
Mailing address
893 CLEVELAND ST, WEST HEMPSTEAD, NY 11552-3634
(516) 351-5606
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1123971
NY
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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