Provider Demographics
NPI:1528743218
Name:MESQUITA NP FAMILY HEALTH PC
Entity type:Organization
Organization Name:MESQUITA NP FAMILY HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESQUITA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-412-2650
Mailing Address - Street 1:2392 32ND STREET
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105
Mailing Address - Country:US
Mailing Address - Phone:917-412-2650
Mailing Address - Fax:
Practice Address - Street 1:3501 30TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4662
Practice Address - Country:US
Practice Address - Phone:718-545-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty