Individual
AVERIL STRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 DEERFIELD RD, FAR ROCKAWAY, NY 11691-2113
(917) 912-2413
Mailing address
2507 DEERFIELD RD, FAR ROCKAWAY, NY 11691-2113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
238117
NY
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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