Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Gerontology
Enumerated
Sep 16, 2020
License(s)
309756 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 66 WICKEY AVE | Westbury, NY 11590-2005 | 516-672-0210 |
| LOCATION | 66 WICKEY AVE | Westbury, NY 11590-2005 | 516-672-0210 |
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