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NPI 1639794720 · Neonatal Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1639794720
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 689315 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
3959 Broadway
New York, NY 10032-1559
Phone: (845) 499-8821
Approximate (ZIP-level) locationGet directions
Mailing address
104 Massachusetts Ave
Congers, NY 10920-2504
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.