Most Relevant Information
Provider Data
| NPI Number: | 1003418310 |
| Provider Name: | REBECCA JEANINE EDOUARD FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F08201248 |
Most Important Dates
| Enumeration Date: | 11/11/2020 |
| Last Updated: | 10/21/2024 |
Provider Practice Location
1985 MARCUS AVE STE 110
NEW HYDE PARK
NY
110422024
Practice Location Phone/Fax
| Phone: | 8552014988 |
| Fax: |
Provider Mailing Location
1985 MARCUS AVE STE 110
NEW HYDE PARK
NY
110422024
Provider Mailing Phone/Fax
| Phone: | 8552014988 |
| Fax: |