PAMELA PRAXEDES DECOLONGON

FOREST HILLS, NY
NPI1366235384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  312123)
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
PAMELA PRAXEDES DECOLONGON AGPCNP-BC
11020 71ST AVE APT 616
FOREST HILLS, NY 11375-4532
Phone number: 917-291-0806
Mailing Address
PAMELA PRAXEDES DECOLONGON AGPCNP-BC
11020 71ST AVE APT 616
FOREST HILLS, NY 11375-4532
Phone number: 917-291-0806