STAY HEALTHY, NP IN ADULT HEALTH PC - NPI 1144513813 - Nurse Practitioner in Briarwood, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

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About Stay Healthy, Np In Adult Health Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAY HEALTHY, NP IN ADULT HEALTH PC (NPI 1144513813) is a healthcare organization registered as an adult health in Briarwood, New York and active in the NPI registry since May 2011. The organization lists Leonid Kol, Owner, as its authorized official.

NPPES Registry Identity

NPI1144513813

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameSTAY HEALTHY, NP IN ADULT HEALTH PC

Location Address13876 QUEENS BLVD, 1ST FLOORBriarwood, NY 11435-2930

Mailing Address13876 Queens Blvd, 1st FloorBriarwood, NY 11435-2930 · (718) 850-6345 · Fax (718) 559-4896

Phone(718) 850-6345

Fax(718) 559-4896

Organization SubpartNo

Authorized OfficialLeonid KolOwner · (718) 850-6345

Enumeration DateMay 27, 2011

✔ NPI 1144513813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F304465

13876 QUEENS BLVD, Briarwood, NY 11435

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP