Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Feb 17, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10520 JAMAICA AVE FL 1 | Richmond Hill, NY 11418-2013 | 929-393-4119 |
| LOCATION | 10520 JAMAICA AVE FL 1 | Richmond Hill, NY 11418-2013 | 929-393-4119 |
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