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Dr. Kathia Ruby Fantauzzi Nieves, MD
Student in an Organized Health Care Education/Training Program in East Meadow, New York
NPI 1972065720

Kathia Ruby Fantauzzi Nieves is a Student in an Organized Health Care Education/Training Program based in East Meadow, NY. Kathia Ruby Fantauzzi Nieves practices in East Meadow, NY and has the professional credentials of MD. The NPI Number for Kathia Ruby Fantauzzi Nieves is 1972065720 and holds a License No. (New York).

The current practice location address for Kathia Ruby Fantauzzi Nieves is 2201 Hempstead Tpke, East Meadow, NY and can be reached out via phone at 516-296-6785.

Location: 2201 Hempstead Tpke, East Meadow, NY, 11554-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972065720
Provider Name
Kathia Ruby Fantauzzi Nieves
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2201 Hempstead Tpke, East Meadow, NY, 11554-1859
Phone Number
516-296-6785
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Hempstead Tpke
City
East Meadow
State
New York
Zip
11554-1859
Phone Number
516-296-6785
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Hempstead Tpke
City
East Meadow
State
New York
Zip
11554-1859
Phone Number
516-296-6785
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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