Individual
MARIA LEAH CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 HOLLOW LANE SUITE 110, NEW HYDE PARK, NY 11042-1215
(516) 365-6666
(516) 365-2183
Mailing address
29 PETER LN, PLAINVIEW, NY 11803-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F303376
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303376
NY
363LP2300X
Primary Care Nurse Practitioner
F303376
NY
Other
Enumeration date
05/14/2007
Last updated
03/08/2013
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