Individual
ELIZABETH ANNE BLYMAN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201608839NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
432063
NY
Other
Enumeration date
10/31/2016
Last updated
01/10/2022
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