Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Apr 3, 2007
License(s)
381016 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1340 HOGAN DRIVE | South Plainfield, NJ 07080 | 908-315-9570 |
| LOCATION | 450 PACIFIC ST PS 38 | Brooklyn, NY 11217 | 718-330-1852 |
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