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Individual

MS. LATANYA MARIE BARTHOLOMEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
73-15 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372
(718) 454-2788
Mailing address
PO BOX 350043, JAMAICA, NY 11435
(718) 781-1934

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381947
NY

Other

Enumeration date
07/22/2021
Last updated
12/30/2022
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