Individual
MRS. JOANIRA PEIXOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
(631) 328-5559
Mailing address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
(631) 328-5559
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F308339
NY
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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