Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 420358 | NY |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 420358 | NY |
NPI | 1043503626 |
---|---|
Provider Name | Mrs. Laura Jean Cerlini |
First Address | Westbury, NY 11590-5114 |
Second Address | New Hyde Park, NY 11040-5236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 03/12/2019 |