Individual
JULIEAN SINGH PESTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1600 STEWART AVE STE 105, WESTBURY, NY 11590-6611
(516) 289-8922
Mailing address
261 BAYVIEW AVE, AMITYVILLE, NY 11701-3213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309117
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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