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Acute Care Nurse Practitioner

NPI: 1316162662IndividualAccepts Medicare

Specialties, Licenses & Credentials

Acute Care Nurse PractitionerPrimary

Nurse Practitioner — Acute Care

Code: 363LA2100X

F430331-1(NY)95001902(CA)

Education

OTHER

Class of 2006

Contact & Hours

Via practice · 2 locations total

Address: 622 W 168TH ST
NEW YORK, NY 10032
Phone: (212) 305-9817

Practice locations map

Locations (2)

Practice Location

622 W 168TH ST, NEW YORK, NY

Practice Location

500 DOYLE PARK DR STE G04, SANTA ROSA, CA

Quick Facts

NPI: 1316162662
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 20

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