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Pediatric Nurse Practitioner, Pllc
Pediatric Nurse Practitioner in Merrick, New York
NPI 1144993080

Pediatric Nurse Practitioner, Pllc is a Pediatric Nurse Practitioner based in Merrick, NY and is specialized in Pediatrics. Pediatric Nurse Practitioner, Pllc practices in Merrick, NY. The NPI Number for Pediatric Nurse Practitioner, Pllc is 1144993080 and holds a License No. (New York).

The current practice location address for Pediatric Nurse Practitioner, Pllc is 2944 Holiday Park Dr, Merrick, NY and can be reached out via phone at 646-784-6449 and via fax at 516-809-9855.

Location: 2944 Holiday Park Dr, Merrick, NY, 11566-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144993080
Provider Name
Pediatric Nurse Practitioner, Pllc
Credential
Provider Entity Type
Organization
Address
2944 Holiday Park Dr, Merrick, NY, 11566-4825
Phone Number
646-784-6449
Fax Number
516-809-9855
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2944 Holiday Park Dr
City
Merrick
State
New York
Zip
11566-4825
Phone Number
646-784-6449
Fax Number
516-809-9855
person
Provider Business Mailing Address Details
Address
2944 Holiday Park Dr
City
Merrick
State
New York
Zip
11566-4825
Phone Number
646-784-6449
Fax Number
516-809-9855
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
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Definition
Definition to come...
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