Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Nov 8, 2023
License(s)
F383645 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 53 HARRINGTON AVE | Lindenhurst, NY 11757-3323 | 631-226-2600 |
| MAILING | 252 PHYLLIS DR | Lindenhurst, NY 11757-5416 | 516-383-3955 |
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