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Individual

DR. RENEE MCLEOD-SORDJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(347) 612-5617
Mailing address
10 LIBERTY LN, MILLER PLACE, NY 11764-3200
(516) 672-6874

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
478250
NY
174V00000X
Clinical Ethicist
431022
NY
227900000X
Registered Respiratory Therapist
001284
NY
363L00000X
Nurse Practitioner
440055
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431022
NY
363LF0000X
Family Nurse Practitioner
F331615-1
NY

Other

Enumeration date
07/06/2006
Last updated
06/11/2022
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