Edwidge D Desgraves
Nurse Practitioner - Adult Health
129 Jackson St
Hempstead
, New York 11550-2412
Edwidge D Desgraves
Nurse Practitioner - Adult Health
129 Jackson St
Hempstead
, New York 11550-2412
(516) 610-7071
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Edwidge D Desgraves
- 997 Huckleberry Rd
- North Bellmore, NY
- Zip : 11710-1913
- Phone : (516) 610-7071
Second Address
- Edwidge D Desgraves
- 129 Jackson St
- Hempstead, NY
- Zip : 11550-2412
- Phone : (212) 695-5122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 309713 | NY |
National Provider Identifier
| NPI | 1013527258 |
|---|---|
| Provider Name | Edwidge D Desgraves |
| First Address | North Bellmore, NY 11710-1913 |
| Second Address | Hempstead, NY 11550-2412 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2020 |
| Last Update Date | 03/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.