Individual
MISS MARIESA NICOLE STREETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
116 W 23RD ST STE 500, NEW YORK, NY 10011-2599
(917) 574-7798
Mailing address
100 W 26TH ST APT 7J, NEW YORK, NY 10001-6841
(917) 574-7798
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310548
NY
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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