Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | F350162 | NY |
NPI | 1144383860 |
---|---|
Provider Name | Mrs. Nenita Religion Casida |
First Address | Flushing, NY 11354-1751 |
Second Address | New York, NY 11354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 08/07/2007 |