Most Relevant Information
Provider Data
| NPI Number: | 1003503145 |
| Provider Name: | LOBELYS A ANICET PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | F404813 |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
4802 10TH AVE
BROOKLYN
NY
112192916
Practice Location Phone/Fax
| Phone: | 7182835660 |
| Fax: |
Provider Mailing Location
12 MARBLE ST FL 2
STATEN ISLAND
NY
103142100
Provider Mailing Phone/Fax
| Phone: | 3474840807 |
| Fax: |