Individual
NETA CHAMPAIGN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SAINT NICHOLAS AVE, NEW YORK, NY 10027-4807
(917) 922-7314
Mailing address
285 SAINT NICHOLAS AVE APT 36, NEW YORK, NY 10027-4810
(917) 922-7314
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
H2Q3X2L9
NY
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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