Individual
JULIA PECK CEREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
201 E 19TH ST APT 7G, NEW YORK, NY 10003-2623
(202) 251-0275
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
636788-1
NY
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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