IndividualActive
Judith Severin Avin, NURSE PRACTITIONER
NPI 1407505480 · Critical Care Neonatal Nurse Practitioner · Jamaica, NY
Provider details
- NPI number
- 1407505480
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- F350463-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8268 164th St Ste P113
Jamaica, NY 11432-1104
Phone: (718) 883-4500
Fax: (718) 883-6106
Approximate (ZIP-level) locationGet directions
Mailing address
8268 164th St Ste P113
Jamaica, NY 11432-1104
Registry dates
- Enumerated
- 2022-03-18
- Last updated
- 2022-03-18
- Certified
- 2022-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.