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Ea Nurse Practitioner In Adult Health Pc
Adult Health Nurse Practitioner in Lido Beach, New York
NPI 1194314427

Ea Nurse Practitioner In Adult Health Pc is an Adult Health Nurse Practitioner based in Lido Beach, NY and is specialized in Adult Health. Ea Nurse Practitioner In Adult Health Pc practices in Lido Beach, NY. The NPI Number for Ea Nurse Practitioner In Adult Health Pc is 1194314427 and holds a License No. (New York).

The current practice location address for Ea Nurse Practitioner In Adult Health Pc is 228 Greenway Rd, Lido Beach, NY and can be reached out via phone at 718-288-6075.

Location: 228 Greenway Rd, Lido Beach, NY, 11561-4829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194314427
Provider Name
Ea Nurse Practitioner In Adult Health Pc
Credential
Provider Entity Type
Organization
Address
228 Greenway Rd, Lido Beach, NY, 11561-4829
Phone Number
718-288-6075
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
228 Greenway Rd
City
Lido Beach
State
New York
Zip
11561-4829
Phone Number
718-288-6075
Fax Number
person
Provider Business Mailing Address Details
Address
228 Greenway Rd
City
Lido Beach
State
New York
Zip
11561-4829
Phone Number
718-288-6075
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
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