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Individual

FAHIMIR JEAN-BAPTISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 DUFFY AVE STE 150, HICKSVILLE, NY 11801-3636
(631) 866-1219
Mailing address
100 DUFFY AVE, HICKSVILLE, NY 11801-3636
(631) 866-1219

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
691244
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403179-01
NY

Other

Enumeration date
10/01/2014
Last updated
06/08/2023
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