Individual
NISHA V KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 HUNNEWELL AVE, ELMONT, NY 11003-2709
(516) 603-7967
Mailing address
139 HUNNEWELL AVE, ELMONT, NY 11003-2709
(516) 603-7967
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308327-1
NY
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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