Individual
MS. LINDSAY RAVEENA VIRDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
10211 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 898-5200
Mailing address
410 E 59TH ST APT 4B, NEW YORK, NY 10022-2387
(954) 778-6314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721794
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382815
NY
Other
Enumeration date
06/20/2017
Last updated
04/10/2018
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