Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | F383527 | NY |
NPI | 1023401080 |
---|---|
Provider Name | Mrs. Nitasha Ali-Chojnowski |
First Address | Plainview, NY 11803-1311 |
Second Address | Plainview, NY 11803-1311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2015 |
Last Update Date | 13/03/2015 |