Organization · Type 2 NPI

Pediatric Nurse Practitioner, PLLC

Pediatric Nurse Practitioner · Merrick, NY

NPI number 1144993080 Active

Practice location

2944 Holiday Park Dr
Merrick, NY 11566-4825

Call (646) 784-6449 Map

Fax (516) 809-9855

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

About NPI 1144993080

Pediatric Nurse Practitioner, PLLC's National Provider Identifier is 1144993080, issued on Jul 27, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Merrick, NY. The record was last updated on Jul 27, 2021.