Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00673400 | NJ |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F341187 | NY |
N | 363LP2300X | Nurse Practitioner - Primary Care | F341187 | NY |
NPI | 1023568912 |
---|---|
Provider Name | Svetlana Veltman |
First Address | Staten Island, NY 10309-1822 |
Second Address | Staten Island, NY 10309-1822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2016 |
Last Update Date | 31/12/2020 |