Most Relevant Information
Provider Data
| NPI Number: | 1003337155 |
| Provider Name: | MONA PLATT |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 319138 |
Most Important Dates
| Enumeration Date: | 06/29/2017 |
| Last Updated: | 06/29/2017 |
Provider Practice Location
245 N GANNON AVE
STATEN ISLAND
NY
103144300
Practice Location Phone/Fax
| Phone: | 7182000440 |
| Fax: |
Provider Mailing Location
245 N GANNON AVE
STATEN ISLAND
NY
103144300
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |