Individual
BETH ELLEN ZEDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
219 E 121ST ST, NEW YORK, NY 10035-3018
(212) 987-5135
Mailing address
200 HAVEN AVE APT 3N, NEW YORK, NY 10033-5306
(631) 682-1308
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381796
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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