Organization
MV NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Other names
MV MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VITSENTZOS NP (DIRECTOR)
(516) 790-4227
Entity
Organization
Contact information
Practice address
104-08 METROPOLITAN AVE, FOREST HILL, NY 11375
(516) 790-4227
Mailing address
14 RIVERDALE AVE, MASSAPEQUA, NY 11758-7729
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/09/2024
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