Individual
SARA BLITENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13704 GUY R BREWER BLVD, JAMAICA, NY 11434-3731
(718) 527-3404
Mailing address
13704 GUY R BREWER BLVD, JAMAICA, NY 11434-3731
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
352611
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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