Most Relevant Information
Provider Data
| NPI Number: | 1003471293 |
| Provider Name: | KETNIE V ARISTIDE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ01454100 |
Most Important Dates
| Enumeration Date: | 05/03/2019 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
221 RIVER ST STE 9
HOBOKEN
NJ
070305990
Practice Location Phone/Fax
| Phone: | 2013088252 |
| Fax: |
Provider Mailing Location
170 WILLIAM ST
NEW YORK
NY
100382612
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |