Organization
ANGIELYNS FASTTRACK CARE FAMILY NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNET AGRAWAL (PRESIDENT)
(845) 271-3333
Entity
Organization
Contact information
Practice address
85 NEW MAIN ST, HAVERSTRAW, NY 10927-1548
(845) 271-3333
Mailing address
85 NEW MAIN ST, HAVERSTRAW, NY 10927-1548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
10/04/2012
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