Individual
ANU JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 PARK W, NEW HYDE PARK, NY 11040-3503
(516) 732-3310
Mailing address
1 PARK W, NEW HYDE PARK, NY 11040-3503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342135-1
NY
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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