Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Women's Health
Enumerated
Mar 16, 2016
License(s)
311895 (NY), F421787 (NY), 745739 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 105 STEVENS AVE STE 506 | Mount Vernon, NY 10550-2683 | 914-665-2229 |
| LOCATION | 105 STEVENS AVE | Mount Vernon, NY 10550-2686 | 646-329-4773 |
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