Individual
ANITA YADAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12518 LINDEN BLVD, SOUTH OZONE PARK, NY 11420-2102
(631) 332-2824
Mailing address
12518 LINDEN BLVD, SOUTH OZONE PARK, NY 11420-2102
(631) 332-2824
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311781
NY
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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