New Age Aesthetics, Llc

NPI 1316331978 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1316331978
Enumeration Date 03/22/2015
Last Updated 03/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GASPAR GASPAR
Position NURSE PRACTITIONER
Phone (844) 633-5686
Fax (844) 633-5686
Practice Location
161 MADISON AVE
SUITE 9SE
NEW YORK NY, 10016-5421, US
Phone (844) 633-5686
Fax (844) 633-5686
Business Location
161 MADISON AVE
SUITE 9SE
NEW YORK NY, 10016-5421, US
Phone (844) 633-5686
Fax (844) 633-5686
Toxanomy
Taxonomy Code 363LA2200X
License State New Jersey
License Number 26NJ00162800
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According to our database, New Age Aesthetics, Llc NPI is 1316331978, taxonomy code is 363LA2200X and license number is 26NJ00162800, license state is located at New Jersey. New Age Aesthetics, Llc physically located at 161 Madison Ave, New York NY, 10016-5421. NPI Number 1033115704 has the healthcare provider type.

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1316331978 NPI number is provided on an as is basis without warranty of any kind. 1316331978 is maintained by the National Plan & Provider Enumeration System. The contents of New Age Aesthetics, Llc are for informational purposes only.