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ELISABETH LAVERTY NP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215605985

Individual Registrant:
 ELISABETH  LAVERTY NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 BATH WALK  BREEZY POINT, NY 11697-1001 US
Tel: 718-938-1982  Fax: --

Contact information for business:
1 BATH WALK  BREEZY POINT, NY 11697-1001 US
Tel: 718-938-1982  Fax: --

Registration Information:
NPI: 1215605985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
NY309568

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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