Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F306269-1 | NY |
NPI | 1003152661 |
---|---|
Provider Name | Abby Avgerinos |
First Address | New York, NY 10065-9320 |
Second Address | New York, NY 10065-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2012 |
Last Update Date | 12/01/2017 |