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Divya Rathish, NP
Family Nurse Practitioner in Great Neck, New York
NPI 1669156188

Divya Rathish is a Family Nurse Practitioner based in Floral Park, NY and is specialized in Family. Divya Rathish practices in Great Neck, NY and has the professional credentials of NP. The NPI Number for Divya Rathish is 1669156188 and holds a License No. F351192 (New York).

The current practice location address for Divya Rathish is 833 Northern Blvd Ste 220, Great Neck, NY and can be reached out via phone at 516-622-7986.

Location: 833 Northern Blvd Ste 220, Great Neck, NY, 11001-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669156188
Provider Name
Divya Rathish
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
833 Northern Blvd Ste 220, Great Neck, NY, 11001-1616
Phone Number
516-622-7986
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
833 Northern Blvd Ste 220
City
Great Neck
State
New York
Zip
11021-5339
Phone Number
516-622-7986
Fax Number
person
Provider Business Mailing Address Details
Address
833 Northern Blvd Ste 220
City
Great Neck
State
New York
Zip
11021-5339
Phone Number
516-622-7986
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F351192 (New York)
Definition
Definition to come...
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