Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F401620 | NY |
NPI | 1033534193 |
---|---|
Provider Name | Nicole Paraisy |
First Address | Glen Oaks, NY 11004-1150 |
Second Address | Glen Oaks, NY 11004-1150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2014 |
Last Update Date | 26/02/2014 |