PAZ MENJIVAR AGNP
NPI 1053964650
Nurse Practitioner - Primary Care in New Hyde Park, NY
Active since July 23, 2019
About Paz Menjivar Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAZ MENJIVAR AGNP (NPI 1053964650) is an individual primary care provider in New Hyde Park, New York, licensed in New York (F308833-1) and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1053964650
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePAZ MENJIVARCredential: AGNP
Location Address1991 LAKEVILLE RDNew Hyde Park, NY 11040-1972
Mailing Address1991 Lakeville RdNew Hyde Park, NY 11040-1972 · (516) 428-9821
Phone(516) 428-9821
Sole ProprietorYes
Enumeration DateJuly 23, 2019
✔ NPI 1053964650 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F308833-1
1991 LAKEVILLE RD, New Hyde Park, NY 11040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053964650, enumerated as an "individual" on July 23, 2019.
The provider is located at 1991 LAKEVILLE RD NEW HYDE PARK, NY 11040 and the phone number is (516) 428-9821.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
