Rm NP In Adult Health P C
Nurse Practitioner, Adult Health in Woodside, NY. Organization (NPI-2).
NPI number1548072036
StatusActive
Last updated in NPPESJan 22, 2025
Details
- NPI
- 1548072036
- Entity type
- Organization (NPI-2)
- Legal business name
- Rm NP In Adult Health P C
- Organization subpart
- No
- Enumeration date
- Jan 22, 2025
- Certification date
- Jan 22, 2025
- Last updated
- Jan 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
6535 Queens Blvd Ste 200Woodside, NY 11377-5769
Phone 718-426-4242
Mailing address
6535 Queens Blvd Ste 200Woodside, NY 11377-5769
Phone 718-426-4242
Authorized official
Rigina Matatova
Owner
9173619333
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