Individual
MISS KRISTELLE OLANKA PULIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24221 90TH AVE, BELLEROSE, NY 11426-1115
(718) 831-1979
Mailing address
24221 90TH AVE, BELLEROSE, NY 11426-1115
(718) 831-1979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3058551
NY
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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