Doctor Name: | MRS. NINA JUSTINIANO |
NPI Number: | 1053687921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 317938 |
Business Practice Address: | 13001 Rockaway Blvd South Ozone Park, NY - 114202929 |
Business Phone Number: | 7176597654 |
Business Fax Number: | |
Mailing Address: | 13001 Rockaway Blvd, SOUTH OZONE PARK |
State: | NY |
Postal Code: | 114202230 |
Phone Number: | 7186597654 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 03/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 317938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |