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Individual

SHERLY NORVA ANTOINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
50 S BROOKSIDE AVE, FREEPORT, NY 11520-3144
(516) 867-5329
(516) 623-9191
Mailing address
50 S BROOKSIDE AVE, FREEPORT, NY 11520-3144
(516) 867-5329

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
655759
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383187
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
383187
NURSE PRACTITIONER
NY
Enumeration date
05/13/2013
Last updated
04/09/2024
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