Individual provider · Type 1 NPI
Nicole Prusak, NP
Family Nurse Practitioner · New York, NY
NPI number
1083167274
Active
Practice location
525 E 68th St
New York, NY 10065-4870
Mailing address
525 E 68th St # 94
New York, NY 10065-4870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F340891 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083167274
Nicole Prusak, NP's National Provider Identifier is 1083167274, issued on Jul 25, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jun 29, 2023.