Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F307471 - 1 | NY |
NPI | 1003348434 |
---|---|
Provider Name | Maria Esther Umanzor |
First Address | West Hempstead, NY 11552-1514 |
Second Address | West Hempstead, NY 11552-1514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 03/04/2017 |