Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sea Wave NP Adult Health PC

Organization Adult Health Nurse Practitioner · NPI 1295360725

Sea Wave NP Adult Health PC provides Adult Health Nurse Practitioner services in New York, New York. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 E 39th St Rm 914
New York, NY 10016-0111
Phone: (347) 389-2008
Fax: (877) 632-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9512 150th Rd, Ozone Park, NY 11417-2919 — (347) 389-2008

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1295360725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Blair — Business Manager · (347) 693-5790
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing address1164 E 45th St, Brooklyn, NY 11234-1430

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