COURTNEY MARIE LAKE

FOREST HILLS, NY
NPI1770812257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  F432374)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  621543)
Enumeration Date2009-12-14
Last Update Date2023-02-16
Business Address
COURTNEY MARIE LAKE NP
10201 66TH RD
FOREST HILLS, NY 11375-2029
Phone number: 718-830-4000
Mailing Address
COURTNEY MARIE LAKE NP
8 CHATHAM WOODS DR
CENTEREACH, NY 11720-4029
Phone number: 716-523-3993