Healthcare Provider Details
I. General information
NPI: 1831896950
Provider Name (Legal Business Name): ARIEL MARY MAJOR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/09/2023
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1581 N 9TH ST
STROUDSBURG PA
18360-7531
US
IV. Provider business mailing address
14732 JAMAICA AVE
JAMAICA NY
11435-4082
US
V. Phone/Fax
- Phone: 722-120-6202
- Fax: 833-485-0134
- Phone: 718-786-5000
- Fax: 718-291-4214
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SPO24043 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 346334 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: