Individual
DIVYA KULSHRESHTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 LENOX AVE, NEW YORK, NY 10026
(212) 348-2199
Mailing address
130 LENOX AVE, NEW YORK, NY 10026-2503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 694439
NY
363LF0000X
Family Nurse Practitioner
Primary
F341675-1
NY
Other
Enumeration date
06/14/2016
Last updated
11/06/2018
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