Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 25, 2024
License(s)
353851 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 19 BRADHURST AVE STE 2400N | Hawthorne, NY 10532-2140 | 914-304-5250 |
| MAILING | 36 SLATER AVE | Yonkers, NY 10710-3050 | 914-482-5595 |
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