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Individual

ADRIANA NATIVIDADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
185 WILLIS AVE STE 202, MINEOLA, NY 11501-2671
(917) 297-2862
Mailing address
214 GARFIELD AVE, MINEOLA, NY 11501-2507
(305) 600-7319

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-101
CO
246ZC0007X
Surgical Assistant
19-101
NY
363AM0700X
Medical Physician Assistant
Primary
TPPA1275
FL

Other

Enumeration date
04/03/2020
Last updated
06/15/2026
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