Organization · Type 2 NPI
Sea Wave NP Adult Health PC
Adult Health Nurse Practitioner · New York, NY
NPI number
1295360725
Active
Practice location
10 E 39th St Rm 914
New York, NY 10016-0111
Fax (877) 632-5925
Mailing address
1164 E 45th St
Brooklyn, NY 11234-1430
Other practice locations
- 9512 150th Rd, Ozone Park, NY 11417-2919 · (347) 389-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1295360725
Sea Wave NP Adult Health PC's National Provider Identifier is 1295360725, issued on Mar 4, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Mar 4, 2020.