is a Primary Care in Nyc, New York. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for is 1770740771. The last update date is .
's current location address is Fifth Avenue & 100st, Nyc, New York. You can contact this provider via phone number 2122414844 and fax number 2122419353. The mailing address for is Fifth Avenue & 100st, Nyc, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Fifth Avenue & 100st, Nyc, New York |
| Phone Number | 2122414844 |
| Fax Number | 2122419353 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770740771 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Fifth Avenue & 100st |
|---|---|
| City | Nyc |
| State | New York (NY) |
| Post Code | 10029 |
| Phone Number | 2122414844 |
| Fax Number | 2122419353 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | 302252 |
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Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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